Organization Active NPI

First Harbour Medical Centers, LLC

  • Primary Care Clinic/Center
  • Bradenton, FL
National Provider Identifier
1194227652
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FIRST HARBOUR MEDICAL CENTERS, LLC
Practice address
2902 59TH St W Ste M
Bradenton, FL 34209-7021
Phone
(941) 795-7401
NPI assigned
Mar 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Gabriela Watters
Title
Director of Compliance
Phone
(941) 243-4660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

2902 59TH St W Ste M
Bradenton, FL 34209-7021

Mailing address

7320 Delainey CT
Lakewood Ranch, FL 34240-8445
Phone (941) 373-6323

Other practice location 1

4901 Clark Rd
Sarasota, FL 34233-3251
Phone (941) 925-7612

Other practice location 2

712 53rd Ave E
Bradenton, FL 34203-5827
Phone (941) 755-2456

Other practice location 3

14616 East State Road 70
Bradenton, FL 34202
Phone (941) 870-3585

National Provider Directory

National Provider Directory
Tax ID family
First Harbour Medical Centers LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

712 53rd Ave E
Bradenton, FL 34203
Phone (941) 753-1756

7320 Delainey Ct
Lakewood Ranch, FL 34240
Phone (352) 459-3661

14616 State Road 70 E
Lakewood Ranch, FL 34202
Phone (941) 870-3585

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1194227652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 DELAINEY CT",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408445",
            "telephone_number": "941-373-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 59TH ST W STE M",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097021",
            "telephone_number": "941-795-7401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Clark Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342333251",
            "country_code": "US",
            "telephone_number": "941-925-7612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "712 53rd Ave E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342035827",
            "country_code": "US",
            "telephone_number": "941-755-2456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14616 East State Road 70",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "34202",
            "country_code": "US",
            "telephone_number": "941-870-3585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST HARBOUR MEDICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "941-243-4660"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 17, 2018; 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.