| Manatee Internal Medicine Pa | |
|
408 Manatee Ave E Bradenton FL 34208-1135 | |
| (941) 748-1331 | |
| (941) 746-2803 |
| Full Name | Manatee Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 408 Manatee Ave E, Bradenton, Florida |
| Authorized Official Name and Position | Lynda Canalakes (OFFICE MANAGER) |
| Authorized Official Contact | 9417481331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manatee Internal Medicine Pa 408 Manatee Ave E Bradenton FL 34208-1135 Ph: (941) 748-1331 | Manatee Internal Medicine Pa 408 Manatee Ave E Bradenton FL 34208-1135 Ph: (941) 748-1331 |
| NPI Number | 1063526143 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 11/10/2011 |
| Medicare PECOS PAC ID | 3072527993 |
|---|---|
| Medicare Enrollment ID | O20060131000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063526143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0043006 (Florida) | Primary |
| Provider Name | Thomas C Wilkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013023480 PECOS PAC ID: 1658468830 Enrollment ID: I20071105000388 |
| Provider Name | Terri J Gable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407962848 PECOS PAC ID: 7810084092 Enrollment ID: I20071105000401 |
| Provider Name | Suzanne M Wilkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598871931 PECOS PAC ID: 8527072446 Enrollment ID: I20080729000622 |
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