1. Home
  2. Directory
  3. Florida
  4. Bradenton
  5. Nurse Practitioner
  6. NPI Profile

MANATEE MEMORIAL
NPI 1013213065
Nurse Practitioner - Family in Bradenton, FL

Active since February 08, 2011CLIA Certified · 2 labs
206 2ND ST E, BRADENTON, FL 34208(941) 745-7419 Get Directions Write a Review

NPPES record last updated: February 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Manatee Memorial NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANATEE MEMORIAL (NPI 1013213065) is a healthcare organization registered as a family in Bradenton, Florida and active in the NPI registry since February 2011. The organization holds 2 active CLIA laboratory certificates and lists Erica Marie-tyne Disanto, Arnp-c, as its authorized official.

NPPES Registry Identity

NPI1013213065
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMANATEE MEMORIAL
Location Address206 2ND ST EBradenton, FL 34208-1042
Mailing Address2811 38th Ave WBradenton, FL 34205-3536 · (941) 751-0559
Phone(941) 745-7419
Organization SubpartNo
Authorized OfficialErica Marie-tyne DisantoArnp-c · (941) 232-3355
Enumeration DateFebruary 8, 2011
✔ NPI 1013213065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 9227132
206 2ND ST E, Bradenton, FL 34208
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0939994

Manatee Memorial Hospital Laboratory · Bradenton, FL
Active · expires Feb 2, 2028
CLIA Number10D0939994
Laboratory TypeHospital
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorThomas J. Farrell
Laboratory Phone(941) 745-7535
Laboratory LocationManatee Memorial Hospital Laboratory206 2nd Street East, Bradenton, FL 34208
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D0025879

Manatee Memorial Hospital Clinical Laboratory · Bradenton, FL
Active · expires Feb 27, 2027
CLIA Number10D0025879
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Silvio S. Tanev
Laboratory Phone(941) 745-7461
Laboratory LocationManatee Memorial Hospital Clinical Laboratory206 Second St E, Bradenton, FL 34208
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAYLA FRITZ MD
Student in an Organized Health Care Education/Training Program
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 745-7286
MERCEDES MARIA PECK
Student in an Organized Health Care Education/Training Program
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 745-7257
MARCIE KROSKA PA-C
Physician Assistant
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 746-5111
MARTHA C LEHMAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
206 2ND ST E
BRADENTON, FL 34208
Manatee County (305) 665-4614
DR. RACHEL PHILIP DPM
Student in an Organized Health Care Education/Training Program
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 746-5111
HENRY E SMOAK III MD
Emergency Medicine
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 746-5111
SVETLANA KOVTUNOVA MD
Family Medicine
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 746-5111
DR. TIFFANY SOLORZANO HUBMAN DO
Family Medicine
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 745-7286

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manatee Memorial's NPI number?

The NPI number for Manatee Memorial is 1013213065. It was assigned to this organization in the NPPES registry on February 8, 2011.

Where is Manatee Memorial located?

Manatee Memorial is located at 206 2nd St E, Bradenton, FL 34208. The listed phone number is (941) 745-7419.

What is Manatee Memorial's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Manatee Memorial hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Manatee Memorial was last updated on February 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.