NPIMap

Organization Active NPI

Manatee Internal Medicine PA

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1063526143
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0043006 Issued in FL
Legal business name
MANATEE INTERNAL MEDICINE PA
Practice address
408 Manatee Ave E
Bradenton, FL 34208-1135
Phone
(941) 748-1331
Fax
(941) 746-2803
NPI assigned
Aug 18, 2006
Last updated
Nov 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lynda Canalakes
Title
Office Manager
Phone
(941) 748-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0043006 FL Primary

Addresses

Primary practice location

408 Manatee Ave E
Bradenton, FL 34208-1135

Mailing address

408 Manatee Ave E
Bradenton, FL 34208-1135
Phone (941) 748-1331

National Provider Directory

National Provider Directory

Locations

408 Manatee Ave E
Bradenton, FL 34208
Phone (941) 748-1331

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1063526143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081135",
            "telephone_number": "941-748-1331",
            "fax_number": "941-746-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081135",
            "telephone_number": "941-748-1331",
            "fax_number": "941-746-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "CANALAKES",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-748-1331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0043006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.