| Cortes Family Physicians, P.a. | |
|
5712 21st Ave W Bradenton FL 34209-5606 | |
| (941) 795-0105 | |
| Not Available |
| Full Name | Cortes Family Physicians, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 5712 21st Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Cristobal Eduardo Cortes (OWNER) |
| Authorized Official Contact | 9417950105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cortes Family Physicians, P.a. 5712 21st Ave W Bradenton FL 34209-5606 Ph: (941) 795-0105 | Cortes Family Physicians, P.a. 5712 21st Ave W Bradenton FL 34209-5606 Ph: (941) 795-0105 |
| NPI Number | 1801167838 |
|---|---|
| Provider Enumeration Date | 01/23/2012 |
| Last Update Date | 01/23/2012 |
| Medicare PECOS PAC ID | 4688833643 |
|---|---|
| Medicare Enrollment ID | O20120309000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801167838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8190 (Florida) | Primary |
| Provider Name | Cristobal E Cortes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356351498 PECOS PAC ID: 4183641061 Enrollment ID: I20051031000152 |
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