| Doctor 4 U Clinic Inc | |
|
5318 34th St W Bradenton FL 34210-3401 | |
| (941) 758-0205 | |
| Not Available |
| Full Name | Doctor 4 U Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5318 34th St W, Bradenton, Florida |
| Authorized Official Name and Position | Lihini Dalzell (PRESIDENT) |
| Authorized Official Contact | 9417580205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor 4 U Clinic Inc 5318 34th St W Bradenton FL 34210-3401 Ph: (941) 758-0205 | Doctor 4 U Clinic Inc 5318 34th St W Bradenton FL 34210-3401 Ph: (941) 758-0205 |
| NPI Number | 1366837478 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 09/02/2015 |
| Medicare PECOS PAC ID | 7618297920 |
|---|---|
| Medicare Enrollment ID | O20150527001660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366837478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS11114 (Florida) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | OS11114 (Florida) | Primary |
| Provider Name | Lihini I Dalzell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750510889 PECOS PAC ID: 7618149303 Enrollment ID: I20110929000724 |
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