Manatee Glens

NPI #1992789549 in Bradenton, Florida

Provider Information

NPI Number
1992789549
Entity Type
Organization
Organization Name
Manatee Glens
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Dec 6, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
379 6TH AVE W
State
Florida
ZIP Code
34205-8820
Phone
(941) 782-4299

Authorized Official

Name
BARBARA WHITE CLAVEY
Title
OUTPATIENT THERAPIST
Phone
(941) 782-4299

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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