Provider Demographics
NPI:1073327813
Name:UROLOGY PARTNERS OF MANATEE, LLC
Entity type:Organization
Organization Name:UROLOGY PARTNERS OF MANATEE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-421-5999
Mailing Address - Street 1:200 3RD AVE W STE 110
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-8628
Mailing Address - Country:US
Mailing Address - Phone:941-421-5999
Mailing Address - Fax:941-960-8707
Practice Address - Street 1:200 3RD AVE W STE 110
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-8628
Practice Address - Country:US
Practice Address - Phone:941-421-5999
Practice Address - Fax:941-960-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty