| Manatee Specialty Physician Alliance, Llc | |
|
714 Manatee Ave E Bradenton FL 34208-1235 | |
| (941) 212-2010 | |
| Not Available |
| Full Name | Manatee Specialty Physician Alliance, Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 714 Manatee Ave E, Bradenton, Florida |
| Authorized Official Name and Position | Todd Evans (VP - PHYS. OPERATIONS) |
| Authorized Official Contact | 6103824422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manatee Specialty Physician Alliance, Llc 367 S Gulph Rd King Of Prussia PA 19406-3121 Ph: (484) 913-7527 | Manatee Specialty Physician Alliance, Llc 714 Manatee Ave E Bradenton FL 34208-1235 Ph: (941) 212-2010 |
| NPI Number | 1881304624 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Medicare PECOS PAC ID | 8921473927 |
|---|---|
| Medicare Enrollment ID | O20230405000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881304624 | NPI | - | NPPES |
| Provider Name | Jose Erbella |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902891617 PECOS PAC ID: 4688600067 Enrollment ID: I20050718000258 |
| Provider Name | David A Rubins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699748632 PECOS PAC ID: 2062414956 Enrollment ID: I20070206000276 |
| Provider Name | Stacey South |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1336368547 PECOS PAC ID: 5799752721 Enrollment ID: I20080930000114 |
| Provider Name | Gregory Charles Farino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598731952 PECOS PAC ID: 8426018995 Enrollment ID: I20100416000325 |
| Provider Name | Ralph F Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043373988 PECOS PAC ID: 7315105558 Enrollment ID: I20120220000877 |
| Provider Name | Stelios Rekkas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669767109 PECOS PAC ID: 1951550078 Enrollment ID: I20121005000149 |
| Provider Name | Sushma Manda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558524603 PECOS PAC ID: 7113051392 Enrollment ID: I20131107000187 |
| Provider Name | Sandra Lynn Yost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396931846 PECOS PAC ID: 1153549233 Enrollment ID: I20140903000701 |
| Provider Name | Martin J Hallam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568769180 PECOS PAC ID: 8527374461 Enrollment ID: I20150908002709 |
| Provider Name | Angela Lenchinsky Scarpa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760846778 PECOS PAC ID: 0042570111 Enrollment ID: I20180209001481 |
| Provider Name | Nisha Pradeep |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831578392 PECOS PAC ID: 5395050520 Enrollment ID: I20190708000784 |
| Provider Name | Terrell W Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902252703 PECOS PAC ID: 8022301712 Enrollment ID: I20200730002267 |
| Provider Name | David William Dexter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770585655 PECOS PAC ID: 2264575810 Enrollment ID: I20210305001353 |
| Provider Name | Nikalesh Reddy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619280534 PECOS PAC ID: 6204001357 Enrollment ID: I20211027001817 |
| Provider Name | Iuliana Kiliment |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104138254 PECOS PAC ID: 7810135233 Enrollment ID: I20211116000438 |
| Provider Name | Samuel E Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538588769 PECOS PAC ID: 3476988288 Enrollment ID: I20211116001216 |
| Provider Name | Heather E Huddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467113654 PECOS PAC ID: 1557755402 Enrollment ID: I20220218001644 |
| Provider Name | Raghu R Pulluru |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447269915 PECOS PAC ID: 4183612393 Enrollment ID: I20220521000373 |
| Provider Name | Joy A Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285367672 PECOS PAC ID: 2860876273 Enrollment ID: I20220902002589 |
| Provider Name | Andreia Silva |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396466025 PECOS PAC ID: 5294106993 Enrollment ID: I20230117000823 |
| Provider Name | Eden Johnston Yelverton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407210990 PECOS PAC ID: 5395013296 Enrollment ID: I20230201001716 |
| Provider Name | Samuel Ruffin Yelverton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689038168 PECOS PAC ID: 3779991112 Enrollment ID: I20230209001558 |
| Provider Name | Ezra S Elkayam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023091477 PECOS PAC ID: 2567413404 Enrollment ID: I20240625002127 |
| Provider Name | Alexander A Erbella |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154882140 PECOS PAC ID: 5193269280 Enrollment ID: I20240701000494 |
| Provider Name | Mary A Strzemieczny |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609616853 PECOS PAC ID: 7315478831 Enrollment ID: I20241008000902 |
| Provider Name | Rene Messier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093348674 PECOS PAC ID: 8921530056 Enrollment ID: I20241015000902 |
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