Manatee Memorial

NPI #1013213065 in Bradenton, Florida

Provider Information

NPI Number
1013213065
Entity Type
Organization
Organization Name
Manatee Memorial
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Feb 8, 2011
Last Updated
Feb 8, 2011

Practice Location

Address
206 2ND ST E
State
Florida
ZIP Code
34208-1042
Phone
(941) 745-7419

Authorized Official

Name
MRS. ERICA MARIE-TYNE DISANTO
Title
ARNP-C
Phone
(941) 232-3355

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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