Jack Pfeilsticker M D P A in Bradenton - Primary Care

Jack Pfeilsticker M D P A - NPI 1265573018

Jack Pfeilsticker M D P A is a Primary Care in Bradenton, Florida. Jack Pfeilsticker M D P A practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Jack Pfeilsticker M D P A is 1265573018. The last update date is 2011-04-08.

Jack Pfeilsticker M D P A's current location address is 4701 Manatee Ave W, Bradenton, Florida. You can contact this provider via phone number 9417472282 and fax number 9417570656. The mailing address for Jack Pfeilsticker M D P A is 4701 Manatee Ave W, Bradenton, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jack Pfeilsticker M D P A
Address 4701 Manatee Ave W, Bradenton, Florida
Phone Number 9417472282
Fax Number 9417570656
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Pfeilsticker Andrew John
Credentials MD
Telephone Number 9417472282

NPI Number Detail

NPI Number 1265573018
Provider Enumeration Date 2007-02-12
Last Updated Date 2011-04-08

Provider Mailing Address Detail

Address 4701 Manatee Ave W
City Bradenton
State Florida (FL)
Post Code 342093851
Phone Number 9417472282
Fax Number 9417570656

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No ME46226
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
266225600 FL --

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FAQs about Jack Pfeilsticker M D P A

What is the unique 10-digit identification code assigned to Jack Pfeilsticker M D P A by the Centers for Medicare & Medicaid Services?

The Jack Pfeilsticker M D P A has been issued the NPI (National Provider Identifier) 1265573018, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jack Pfeilsticker M D P A?

The Jack Pfeilsticker M D P A is situated at 4701 Manatee Ave W, in the city of Bradenton, state of FL, with the zip code 342093851.

What is Jack Pfeilsticker M D P A's area of expertise and its corresponding taxonomy classification?

The Jack Pfeilsticker M D P A's field of specialization is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1265573018 to Jack Pfeilsticker M D P A?

The Jack Pfeilsticker M D P A received its 1265573018 assignment from the Centers for Medicare & Medicaid Services on 2007-02-12.

When was the information regarding Jack Pfeilsticker M D P A most recently updated?

The details pertaining to the Jack Pfeilsticker M D P A, including its address, specialty, and other relevant information, were last refreshed on 2011-04-08.

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