Condon, Garry P

Condon, Garry P is an individual health care provider with primary practice located at 217 Manatee Ave E , Bradenton FL 34208-1931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Condon, Garry P can be contacted via phone (941) 748-1818.

Contact Information

Primary practice address
217 Manatee Ave E Bradenton FL 34208-1931
Phone: (941) 748-1818
Fax: (941) 746-1055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME121450 Florida

Profile Details

NPI number 1396714523
LBN Legal business name Condon, Garry P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Mar 19th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396714523 NPPES
Pennsylvania MEDICAID 0011431150002

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