| Hospitalist Group Of Manatee County, Llc | |
|
250 2nd St E Suite 3b Bradenton FL 34208-1029 | |
| (941) 746-4151 | |
| (941) 746-4345 |
| Full Name | Hospitalist Group Of Manatee County, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 2nd St E, Bradenton, Florida |
| Authorized Official Name and Position | Sarah Nonnemaker (PRACTICE MANAGER) |
| Authorized Official Contact | 9417464151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Group Of Manatee County, Llc 250 2nd St E Suite 3b Bradenton FL 34208-1029 Ph: (941) 746-4151 | Hospitalist Group Of Manatee County, Llc 250 2nd St E Suite 3b Bradenton FL 34208-1029 Ph: (941) 746-4151 |
| NPI Number | 1790190098 |
|---|---|
| Provider Enumeration Date | 06/25/2014 |
| Last Update Date | 01/26/2023 |
| Medicare PECOS PAC ID | 4486976966 |
|---|---|
| Medicare Enrollment ID | O20141212000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790190098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 72848 (Florida) | Primary |
| Provider Name | Jorge L Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932192325 PECOS PAC ID: 4688657778 Enrollment ID: I20040611001130 |
| Provider Name | Waguih S El Masry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336103167 PECOS PAC ID: 6305823881 Enrollment ID: I20040701001589 |
| Provider Name | Leslie Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255699534 PECOS PAC ID: 6204146798 Enrollment ID: I20151112003086 |
| Provider Name | Sean D Nonnemaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245573609 PECOS PAC ID: 0244549921 Enrollment ID: I20160819001144 |
| Provider Name | Juliana Dale` |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801327572 PECOS PAC ID: 8022436336 Enrollment ID: I20200918001516 |
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