| Village Medical - Brandenton South | |
|
1504 53rd Ave E # 102 Bradenton FL 34203-4248 | |
| (407) 798-8800 | |
| Not Available |
| Full Name | Village Medical - Brandenton South |
|---|---|
| Speciality | Family Medicine |
| Location | 1504 53rd Ave E # 102, Bradenton, Florida |
| Authorized Official Name and Position | Rebecca Rager (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 8449690686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Medical - Brandenton South 4650 Westway Park Blvd Houston TX 77041-2007 | Village Medical - Brandenton South 1504 53rd Ave E # 102 Bradenton FL 34203-4248 Ph: (407) 798-8800 |
| NPI Number | 1699412478 |
|---|---|
| Provider Enumeration Date | 05/13/2022 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699412478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
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