| Dr Danuta B Fabisiak Pa | |
|
2110 58th St W Bradenton FL 34209-5660 | |
| (941) 795-7222 | |
| (941) 795-7335 |
| Full Name | Dr Danuta B Fabisiak Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2110 58th St W, Bradenton, Florida |
| Authorized Official Name and Position | Danuta B Fabisiak (PRESIDENT) |
| Authorized Official Contact | 9417957222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Danuta B Fabisiak Pa 2110 58th St W Bradenton FL 34209-5660 Ph: (941) 795-7222 | Dr Danuta B Fabisiak Pa 2110 58th St W Bradenton FL 34209-5660 Ph: (941) 795-7222 |
| NPI Number | 1144567868 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 01/15/2013 |
| Medicare PECOS PAC ID | 2163667452 |
|---|---|
| Medicare Enrollment ID | O20130313000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144567868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | OS8474 (Florida) | Primary |
| Provider Name | Danuta B. Fabisiak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790773901 PECOS PAC ID: 8921906835 Enrollment ID: I20031230000011 |
| Provider Name | Kathleen Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285057687 PECOS PAC ID: 6103218284 Enrollment ID: I20220122000117 |
Fullness Of Life Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 9th Ave W, Bradenton, FL 34205 Phone: 941-800-1513 | |
Clarea, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13062 Bliss Loop, Bradenton, FL 34211 Phone: 941-248-6987 Fax: 217-787-3232 | |
Orlando Maldonado, Md, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 6th Ave E, Bradenton, FL 34208 Phone: 941-749-7997 | |
Denise K. Gross, Psy.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6015 111th St E, Bradenton, FL 34211 Phone: 941-756-0292 Fax: 941-756-0161 | |
Abdul Nadeem, M.d.llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7015 Gosling Ter, Bradenton, FL 34203 Phone: 941-313-0084 | |
1st Applied Behavioral Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12907 Bliss Loop, Bradenton, FL 34211 Phone: 941-229-1029 | |
Pamela S Bowyer Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4802 26th St W Ste C, Bradenton, FL 34207 Phone: 941-752-7773 Fax: 941-752-7774 |