Bradenton Gastroenterology PA

NPI #1023069945 in Bradenton, Florida

Provider Information

NPI Number
1023069945
Entity Type
Organization
Organization Name
Bradenton Gastroenterology PA
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
May 15, 2006
Last Updated
Feb 27, 2008

Practice Location

Address
2902 59TH ST W
Address 2
SUITE C
State
Florida
ZIP Code
34209-7023
Phone
(941) 792-1430

Authorized Official

Name
DR. ALPHONSO A BELISTO, MD
Title
PRESIDENT
Phone
(941) 792-1430

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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