Doctors Medical Practice LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DOCTORS MEDICAL PRACTICE LLC

Practice address

1103 9TH Ave W
Bradenton, FL 34205-7717

Phone

(305) 394-3540

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Diego Alejandro Martinez, LMT

Title

Owner

Phone

(305) 394-3540

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1104376060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 9TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057717",
            "telephone_number": "305-394-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 9TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057717",
            "telephone_number": "305-394-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-394-3540",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.