National Provider Identifier Database

MANATEE DIAGNOSTIC CENTERLTD
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

MANATEE DIAGNOSTIC CENTER,LTD
2301 60TH STREET COURT WEST
SUITE C
BRADENTON, FL34209
Phone: 941-747-3034
Fax: 941-748-5819
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for MANATEE DIAGNOSTIC CENTER,LTD

NPI Number 1235406646
Legal business name
LBN
MANATEE DIAGNOSTIC CENTER,LTD
Authorized official DAVID GRAHAM - (EXECTIVE DIRECTOR/CFO)
Entity Organization
Organization subpart Yes
Enumeration date 11/30/2011
Last updated 01/12/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME6540
  • FL Medicaid: 48245500

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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