Active NPI 1902891617 Individual Practitioner Male Practitioner

Dr. Jose Erbella , MD

Surgery • Bradenton, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jose Erbella, MD is a certified Surgery practicing in Bradenton, FL. With approximately 27 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1999, Dr. Erbella delivers high-quality medical care to the local community at 250 2ND ST E.

Dr. Erbella is affiliated with Manatee Specialty Physician Alliance Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

250 2nd St E
Suite 1a

Bradenton, FL 342081029

Telephone 9418964788

Fax 9418964791

Associated Practice Facility / Clinic

🏢 Jorge L Hernandez Md Pa Facility NPI 1063477420

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bradenton, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +10.3 yrs vs City Avg

City Avg: 16.7 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

22 Specialists

Practicing in Bradenton, FL (2030 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Erbella (27 Years) 27 Yrs

Bradenton Specialty Average (16.7 Years) 16.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	127	127	$433.00	$214.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	44	$153.00	$76.85
99213 Established patient office or other outpatient visit, typically 15 minutes	90	79	$179.00	$87.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	71	$355.00	$175.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	53	$252.00	$124.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	26	$96.00	$48.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	40	$254.00	$127.98
49650 Repair of groin hernia using an endoscope	40	40	$980.51	$457.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$329.00	$163.63
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	34	33	$1251.18	$633.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$219.00	$108.78
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$161.00	$81.59
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	17	17	$164.00	$46.54
76642 Limited ultrasound scan of 1 breast	16	14	$167.00	$80.31
49594 Initial repair of entrapped hernia of abdomen, 3-10 cm in length	14	13	$1488.07	$766.78
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	12	11	$336.93	$174.03
19301 Partial removal of breast	11	11	$1305.00	$521.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	135	135	$431.00	$217.58
99213 Established patient office or other outpatient visit, typically 15 minutes	99	81	$177.00	$89.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	67	$351.00	$178.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	63	$251.00	$126.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	31	$155.00	$80.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$327.00	$166.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	35	$255.00	$132.03
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	30	30	$1447.73	$738.14
99443 Telephone medical discussion with physician, 21-30 minutes	29	28	$249.00	$98.30
49650 Repair of groin hernia using an endoscope	28	28	$1020.75	$358.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	20	$97.00	$50.71
15734 Creation of muscle graft to trunk	24	17	$2961.00	$1333.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$220.00	$112.51
76642 Limited ultrasound scan of 1 breast	23	21	$164.43	$81.77
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	21	21	$915.62	$308.31
52005 Insertion of tube into ureter using an endoscope through bladder area	17	16	$854.76	$74.37
38900 Lymph node imaging during surgery	16	16	$284.88	$153.83
19285 Placement of locating device in breast using ultrasound guidance, first growth	15	15	$742.00	$40.65
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	13	13	$363.00	$194.39
19301 Partial removal of breast	13	13	$1308.00	$353.54
15860 Injection of agent into vein to assess blood flow of skin graft or flap	13	13	$209.00	$59.83
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	12	12	$2146.00	$870.44
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$163.00	$84.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$333.14	$167.52
99213 Established patient office or other outpatient visit, typically 15 minutes	65	54	$161.80	$90.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	53	$244.48	$127.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	55	55	$439.95	$223.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	40	$330.59	$180.91
99443 Telephone medical discussion with physician, 21-30 minutes	29	29	$234.07	$108.53
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	28	28	$2023.86	$752.28
76642 Limited ultrasound scan of 1 breast	18	17	$217.33	$86.86
49650 Repair of groin hernia using an endoscope	16	16	$1366.06	$411.77
15734 Creation of muscle graft to trunk	15	12	$3386.80	$1412.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$107.00	$56.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	85	$225.00	$128.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	107	107	$443.00	$222.91
99213 Established patient office or other outpatient visit, typically 15 minutes	90	71	$152.52	$89.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$358.00	$169.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	67	$303.00	$182.53
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	64	15	$850.00	$227.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	53	$92.00	$56.05
76642 Limited ultrasound scan of 1 breast	50	42	$275.88	$85.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$232.00	$113.38
49650 Repair of groin hernia using an endoscope	35	35	$1552.00	$408.63
19301 Partial removal of breast	27	26	$2368.00	$509.74
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	27	27	$3279.00	$825.56
38900 Lymph node imaging during surgery	25	25	$527.00	$152.00
99422 Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes	24	22	$62.71	$30.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$435.00	$202.21
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	22	22	$1582.00	$250.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$153.00	$72.55
99442 Telephone medical discussion with physician, 11-20 minutes	18	17	$152.00	$92.26
45380 Biopsy of large bowel using an endoscope	17	17	$950.00	$198.74
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$66.00	$19.29
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$623.00	$99.44
76098 X-ray of surgical specimen	15	15	$29.60	$15.83
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1335.00	$345.39
19081 Biopsy of breast accessed through the skin with stereotactic guidance	12	12	$661.00	$170.71
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2797.00	$681.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	128	90	$132.00	$45.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	124	54	$162.00	$53.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	122	122	$627.00	$211.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	68	$321.00	$109.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	85	73	$436.00	$146.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$495.00	$165.83
99213 Established patient office or other outpatient visit, typically 15 minutes	56	48	$220.00	$75.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	16	$222.00	$73.84
49650 Repair of groin hernia using an endoscope	34	34	$1635.18	$484.02
47562 Removal of gallbladder using an endoscope	33	33	$2094.00	$686.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$324.00	$109.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	26	$615.00	$207.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	20	$438.00	$118.39
76642 Limited ultrasound scan of 1 breast	24	22	$264.00	$86.82
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$1452.15	$278.50
45300 Diagnostic examination of rectum and large bowel using an endoscope	17	17	$171.00	$25.39
38900 Lymph node imaging during surgery	17	17	$470.12	$157.77
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	14	13	$834.00	$87.19
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	13	$249.00	$24.81
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1065.00	$361.02
19303 Total removal of breast	13	13	$3966.23	$1176.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	180	134	$132.00	$44.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	85	$321.00	$108.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	107	62	$162.00	$53.23
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	106	106	$625.90	$207.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	37	$222.00	$74.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	70	$436.00	$146.19
99213 Established patient office or other outpatient visit, typically 15 minutes	77	65	$220.00	$74.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$495.00	$163.62
76642 Limited ultrasound scan of 1 breast	56	47	$273.43	$88.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	48	$615.00	$205.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$324.00	$108.93
76705 Limited ultrasound scan of abdomen	34	30	$273.00	$89.25
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	21	21	$1448.86	$292.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$438.00	$112.24
49650 Repair of groin hernia using an endoscope	18	18	$1808.00	$508.44
47562 Removal of gallbladder using an endoscope	18	18	$2094.00	$687.16
19301 Partial removal of breast	17	16	$2303.47	$554.90
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$249.00	$30.50
38900 Lymph node imaging during surgery	16	16	$471.75	$154.53
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$1065.00	$318.95
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	16	16	$2032.38	$91.20
45300 Diagnostic examination of rectum and large bowel using an endoscope	12	12	$171.00	$30.07
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$1812.50	$627.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	185	139	$131.89	$42.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	162	47	$222.00	$73.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	136	136	$624.24	$205.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	135	111	$436.00	$141.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	76	$321.20	$104.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	85	76	$162.00	$53.12
99213 Established patient office or other outpatient visit, typically 15 minutes	64	51	$220.00	$71.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$495.04	$164.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	51	$615.00	$204.31
76642 Limited ultrasound scan of 1 breast	47	35	$264.00	$86.52
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	29	29	$1383.00	$300.09
47562 Removal of gallbladder using an endoscope	28	28	$2094.54	$670.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$324.21	$107.67
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	27	27	$1065.00	$319.74
19301 Partial removal of breast	26	25	$2061.00	$524.16
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	26	26	$248.96	$18.95
76098 X-ray of surgical specimen	24	24	$51.00	$8.18
38900 Lymph node imaging during surgery	21	21	$444.00	$150.80
49650 Repair of groin hernia using an endoscope	20	20	$1695.40	$442.97
45300 Diagnostic examination of rectum and large bowel using an endoscope	20	20	$171.00	$29.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	16	$438.00	$127.17
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	17	16	$885.88	$125.27
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	12	$2730.00	$886.09
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	13	13	$2031.00	$347.85
19081 Biopsy of breast accessed through the skin with stereotactic guidance	13	13	$525.00	$174.33
19303 Total removal of breast	11	11	$3860.18	$1052.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	245	76	$220.00	$72.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	188	144	$130.00	$42.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	69	$325.67	$103.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	165	165	$627.00	$203.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	123	101	$435.97	$142.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	88	$620.00	$203.49
99213 Established patient office or other outpatient visit, typically 15 minutes	91	72	$220.00	$72.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	88	84	$162.00	$53.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$499.41	$163.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	28	$120.00	$39.46
47562 Removal of gallbladder using an endoscope	34	34	$2109.00	$628.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$344.41	$107.28
49650 Repair of groin hernia using an endoscope	27	27	$1919.04	$509.88
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	25	23	$1504.44	$300.74
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	22	$248.00	$19.23
38900 Lymph node imaging during surgery	22	21	$469.41	$154.03
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$1082.00	$340.66
19081 Biopsy of breast accessed through the skin with stereotactic guidance	18	18	$563.67	$180.14
19301 Partial removal of breast	16	16	$2207.88	$517.67
36590 Removal of peripheral venous catheter for infusion	15	15	$607.00	$192.60
45300 Diagnostic examination of rectum and large bowel using an endoscope	14	14	$171.00	$28.00
19303 Total removal of breast	12	12	$4834.50	$1219.12
19120 Removal of 1 or more breast growth, open procedure	12	12	$1308.00	$375.35
76098 X-ray of surgical specimen	11	11	$50.00	$7.54

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME84834

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

272589400 (FL)

Commercial Insurance / Payer ID Staywell Healthease Wellc

N347764 (FL)

Commercial Insurance / Payer ID Cigna

6433980 (FL)

Commercial Insurance / Payer ID Rail Road Medicare

P00266888 (FL)

Commercial Insurance / Payer ID Medical Mutual

030480068003 (FL)

Commercial Insurance / Payer ID Amerihealth

668764 (FL)

Commercial Insurance / Payer ID Bcbs

01544 (FL)

Commercial Insurance / Payer ID Aetna

7446649 (FL)

Commercial Insurance / Payer ID Healthpartners

90192 (FL)

Hospital & Practice Group Affiliations

Manatee Specialty Physician Alliance Llc

200 3rd Ave W, Bradenton, FL 342058628

Phone: 9417463115

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Dr. Victor Ghobrial , MD

Internal Medicine - Pulmonary Disease

NPI 1194728279

Doctor of Medicine (M.D.)

Dr. Sean Nonnemaker , DO

Internal Medicine

NPI 1245573609

Doctor of Osteopathic Medicine (D.O.)

Dr. Leslie Gomez , DO

Internal Medicine

NPI 1255699534

Doctor of Osteopathic Medicine (D.O.)

Ruth Exantus , APRN

Nurse Practitioner - Family

NPI 1285278226

Advanced Practice Registered Nurse

Dr. Karen Stroh , MD

Internal Medicine - Pulmonary Disease

NPI 1295727162

Doctor of Medicine (M.D.)

Dr. Waguih El Masry , MD

Internal Medicine

NPI 1336103167

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2013

Registered at 250 2ND ST E, SUITE 1A, BRADENTON, FL 342081029 (Tel: 9418964788)

📍

Updated Business Mailing Address January 04, 2013

Registered at 250 2ND ST E, SUITE 1A, BRADENTON, FL 342081029 (Tel: 9418964788)

👤

Provider Name / Credentials Updated January 04, 2013

Recorded as JOSE ERBELLA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2013

Surgery (License #ME84834 in FL)

🟢

Initial NPI Registration & Enumeration September 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902891617

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 19, 2005

Last Update: January 20, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

250 2nd St E, Suite 1a

Bradenton, FL 342081029

Phone: 9418964788

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.