| Organization Name: | MANATEE DIAGNOSTIC CENTER, LTD |
| NPI Number: | 1366710691 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVIS W GRAHAM (EXECUTIVE DIRECTOR/CFO) |
| Mailing Address: | 11255 Us Hwy 301 North 105 Parrish |
| State: | FL US |
| Postal Code: | 34219 |
| Phone Number: | 9417473034 |
| Fax Number: | 9417485819 |
| NPI Enumeration Date: | 12/01/2011 |
| NPI Last Update Date: | 01/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | ME6540 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |