| Bay Area Skin Cancer Surgery And Dermatology Llc | |
|
702 Manatee Ave W Bradenton FL 34205-8663 | |
| (941) 748-4747 | |
| Not Available |
| Full Name | Bay Area Skin Cancer Surgery And Dermatology Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 702 Manatee Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Beatrice J Berkes (OWNER) |
| Authorized Official Contact | 9417484747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Skin Cancer Surgery And Dermatology Llc 702 Manatee Ave W Bradenton FL 34205-8663 Ph: (941) 748-4747 | Bay Area Skin Cancer Surgery And Dermatology Llc 702 Manatee Ave W Bradenton FL 34205-8663 Ph: (941) 748-4747 |
| NPI Number | 1437347556 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 11/27/2012 |
| Medicare PECOS PAC ID | 7416996764 |
|---|---|
| Medicare Enrollment ID | O20050427000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437347556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Beatrice J Berkes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669534012 PECOS PAC ID: 3375523509 Enrollment ID: I20050428001095 |
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