Provider Demographics
NPI:1619408853
Name:MANATEE MEMORIAL HOSPITAL LP
Entity Type:Organization
Organization Name:MANATEE MEMORIAL HOSPITAL LP
Other - Org Name:MANATEE DIAGNOSTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-382-3319
Mailing Address - Street 1:300 RIVERSIDE DR E STE 3000
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1024
Mailing Address - Country:US
Mailing Address - Phone:941-747-3034
Mailing Address - Fax:
Practice Address - Street 1:300 RIVERSIDE DR E STE 3000
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1024
Practice Address - Country:US
Practice Address - Phone:941-747-3034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2471M2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M2300XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMammographyGroup - Single Specialty