Sean Nonnemaker Ext Do PA

NPI #1295369924 in Bradenton, Florida

Provider Information

NPI Number: 1295369924
Entity Type: Organization
Organization Name: Sean Nonnemaker Ext Do PA
Primary Specialty: Internal Medicine
Enumeration Date: Mar 3, 2020
Last Updated: Mar 3, 2020

Practice Location

Address: 250 2ND ST E STE 3B
City: Bradenton
State: Florida
ZIP Code: 34208-1027
Phone: (941) 746-4151

Authorized Official

Name: DAWN BIRD
Title: CRED MANAGER
Phone: (813) 728-5460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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