| Manor Healthcare Center | |
|
1700 21st Ave W Bradenton FL 34205-5717 | |
| (941) 748-4161 | |
| (941) 708-8893 |
| Full Name | Manor Healthcare Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1700 21st Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Walter L Presha (PRESIDENT/CEO) |
| Authorized Official Contact | 9417764000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manor Healthcare Center 101 Riverfront Blvd Ste 710 Bradenton FL 34205-8812 Ph: (941) 776-4000 | Manor Healthcare Center 1700 21st Ave W Bradenton FL 34205-5717 Ph: (941) 748-4161 |
| NPI Number | 1730115882 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 09/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730115882 | NPI | - | NPPES |
| 029561212 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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