Organization
EAST COUNTY INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE CLARKE (MANAGER)
(602) 748-4831
Entity
Organization
Contact information
Practice address
6050 STATE ROAD 70 E UNIT B, BRADENTON, FL 34203-9700
(941) 727-7771
Mailing address
6050 STATE ROAD 70 E UNIT B, BRADENTON, FL 34203-9700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS11917
FL
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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