Suncoast Retina Institute, P.l.

NPI #1902172331 in Bradenton, Florida

Provider Information

NPI Number: 1902172331
Entity Type: Organization
Organization Name: Suncoast Retina Institute, P.l.
Primary Specialty: Ophthalmology
Enumeration Date: Mar 29, 2012
Last Updated: Mar 29, 2012

Practice Location

Address: 4916 26TH ST W
Address 2: STE 200
City: Bradenton
State: Florida
ZIP Code: 34207-1712
Phone: (941) 567-4078

Authorized Official

Name: DR. PETER G LIVINGSTON, M.D.
Title: PRESIDENT/PHYSICIAN
Phone: (941) 567-4078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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