Provider Demographics
NPI:1073339859
Name:THE DOCTORS CENTER INC
Entity type:Organization
Organization Name:THE DOCTORS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-459-3661
Mailing Address - Street 1:712 53RD AVE E STE C
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-5827
Mailing Address - Country:US
Mailing Address - Phone:941-755-2459
Mailing Address - Fax:877-788-3881
Practice Address - Street 1:712 53RD AVE E STE C
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-5827
Practice Address - Country:US
Practice Address - Phone:941-755-2456
Practice Address - Fax:877-788-3881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE DOCTORS CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty