Organization Name:  MANATEE SURGICAL CENTER, LLC


Practice Location:
601 MANATEE AVE W  BRADENTON, FL 34205 US
Tel: 941-745-2727  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical	FL	1096

Other Provider Identifiers:

Issuer	Number	State	Type
US DEPARTMENT OF LABOR	170301000		01
STAY WELL	187360	FL	01
BLUE CROSS BLUE SHIELD	68D	FL	01
RAILROAD MEDICARE	490004511		01
AETNA	2273604		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin