Provider First Line Business Practice Location Address:
2227 59TH ST W MANATEE MEDICAL SPECIALISTS
Provider Second Line Business Practice Location Address:
DBA PALMA SOLA MEDICAL ASSOCIATES
Provider Business Practice Location Address City Name:
BRADENTON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34209-7417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-795-5922
Provider Business Practice Location Address Fax Number:
941-761-3041
Provider Enumeration Date:
09/12/2012