West Florida Physician Network, LLC

NPI #1376779496 in Bradenton, Florida

Provider Information

NPI Number: 1376779496
Entity Type: Organization
Organization Name: West Florida Physician Network, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 3, 2009
Last Updated: Oct 21, 2020

Practice Location

Address: 315 75TH ST W
City: Bradenton
State: Florida
ZIP Code: 34209-3201
Phone: (941) 761-1998

Authorized Official

Name: WILLIAM TEDRICK JOHNSON
Title: VICE PRESIDENT/AO
Phone: (615) 372-3375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Obstetrics & Gynecology - Gynecology — Gynecology	207VG0400X
Orthopaedic Surgery	207X00000X
Physical Medicine & Rehabilitation	208100000X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Surgery	208600000X
Physical Therapist	225100000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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