Organization

Prof/guidewell Sanitas Med Cnt

Clinic/Center in Bradenton, FL(View on Map)

Legal Business Name

Prof/guidewell Sanitas Med Cnt

NPI Number

1619428877

NPI Type

Organization

Enumeration Date

10/21/2016

Specialties

(Taxonomies)

Code

261Q00000X
261QA0600X

Primary Taxonomy

Yes
No

Licenses

State

Florida
New York

License Number

ME125796
226893

Contact
Information

Purpose

Mailing
Location

Address

11211 VERANDA CT
11211 VERANDA CT

City

Bradenton
Bradenton

State

FL
FL

Postal Code

34209-7101
34209-7101

Country

US
US

Telephone Number

(516) 353-5770
(516) 353-5770

Authorized Official

Name

Dr. Hugo Velarde-lasso

Title or Position

PHYSIAN

Telephone Number

(516) 353-5770

Identifiers

Identifier

02488824
H83144

Identifier State

NY
NY

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/21/2016

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