Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dpn-Fl PA

Organization General Practice Physician · NPI 1750089728

Dpn-Fl PA is a General Practice Physician in Bradenton, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13517 Deep Blue Pl
Bradenton, FL 34211-4129
Phone: (313) 329-2646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1750089728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominick Lago — President · (248) 631-9171
NPI enumeratedFebruary 20, 2023
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023
Mailing address13517 Deep Blue Pl, Bradenton, FL 34211-4129

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