Manatee Glens

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

MH5954 Issued in FL

Legal business name

MANATEE GLENS

Practice address

379 6TH Ave W
Bradenton, FL 34205-8820

Phone

(941) 782-4299

NPI assigned

Dec 6, 2005

Organization subpart

No

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

Authorized official

Name

Barbara White Clavey

Title

Outpatient Therapist

Phone

(941) 782-4299

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992789549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 6TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 6TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058820",
            "telephone_number": "941-782-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE GLENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAVEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "941-782-4299"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "MH5954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manatee Diagnostic Center,LTD
• Manatee Ear Center Inc
• Manatee Endocrine & Diabetes Center
• Manatee Family Eyecare, PA
• Manatee Family Pharmacy
• Manatee Gynecology LLC
• Manatee Gynecology P a
• Manatee Hearing & Speech Center Inc
• Manatee Hearing & Speech Center, Inc.
• Manatee Integrated Acupuncture LLC

• All providers in Bradenton, FL
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.