Unknown Individual – Urology Physician, NPI 1114912532
Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1410, 59th Street West, Bradenton, Manatee County, Florida, 34209, United States
BRADENTON, FL 342094607
Phone: (941) 792-1477
Fax: (941) 794-8017
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34209)
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