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

Manatee Internal Medicine PA

Organization Internal Medicine Physician · NPI 1063526143

Manatee Internal Medicine PA is an Internal Medicine Physician in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

408 Manatee Ave E
Bradenton, FL 34208-1135
Phone: (941) 748-1331
Fax: (941) 746-2803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME0043006 (FL)

Record details

NPI number1063526143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynda Canalakes — Office Manager · (941) 748-1331
NPI enumeratedAugust 18, 2006
Last updated in NPPESNovember 10, 2011
Mailing address408 Manatee Ave E, Bradenton, FL 34208-1135

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