| Sean Nonnemaker Ext Do Pa | |
|
250 2nd St E Ste 3b Bradenton FL 34208-1027 | |
| (941) 746-4151 | |
| (941) 746-4345 |
| Full Name | Sean Nonnemaker Ext Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 2nd St E Ste 3b, Bradenton, Florida |
| Authorized Official Name and Position | Dawn Bird (CRED MANAGER) |
| Authorized Official Contact | 8137285460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Nonnemaker Ext Do Pa 250 2nd St E Ste 3b Bradenton FL 34208-1027 Ph: (941) 746-4151 | Sean Nonnemaker Ext Do Pa 250 2nd St E Ste 3b Bradenton FL 34208-1027 Ph: (941) 746-4151 |
| NPI Number | 1295369924 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Medicare PECOS PAC ID | 6406284686 |
|---|---|
| Medicare Enrollment ID | O20200323000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295369924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sean D Nonnemaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245573609 PECOS PAC ID: 0244549921 Enrollment ID: I20160819001144 |
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