Provider Demographics
NPI:1831353952
Name:MANATEE EAR CENTER INC
Entity type:Organization
Organization Name:MANATEE EAR CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:941-745-1518
Mailing Address - Street 1:300 RIVERSIDE DR E STE 1450
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1021
Mailing Address - Country:US
Mailing Address - Phone:941-745-1518
Mailing Address - Fax:941-745-1343
Practice Address - Street 1:300 RIVERSIDE DR E STE 1450
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1021
Practice Address - Country:US
Practice Address - Phone:941-745-1518
Practice Address - Fax:941-745-1343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY033231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS1143AMedicare UPIN