Lakewood Ranch Primary Care Associates | |
822 62nd Street Cir E Suite 102 Bradenton FL 34208-6208 | |
(941) 243-3983 | |
(941) 896-3795 |
Full Name | Lakewood Ranch Primary Care Associates |
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Speciality | Family Medicine |
Location | 822 62nd Street Cir E, Bradenton, Florida |
Authorized Official Name and Position | Paul M Pulcini (DOCTOR) |
Authorized Official Contact | 8132696426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakewood Ranch Primary Care Associates 6101 Webb Rd Suite 203 Tampa FL 33615-2872 Ph: (813) 269-6426 | Lakewood Ranch Primary Care Associates 822 62nd Street Cir E Suite 102 Bradenton FL 34208-6208 Ph: (941) 243-3983 |
NPI Number | 1699219113 |
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Provider Enumeration Date | 12/19/2016 |
Last Update Date | 12/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699219113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME83175 (Florida) | Primary |
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Verimed Health Group Bradenton Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Riverside Dr E, Suite 3900, Bradenton, FL 34208 Phone: 813-415-5038 | |
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