| NPI | 1700581725 |
|---|---|
| Doing Business As | BRADENTON EAST INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | PENELOPE KOKKINIDES Chief Administrative Officer 201-270-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |