| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1578971263 | DEMOURA | WINDY | MICHELLE | 6090 26TH ST W | BRADENTON | FL | 342074401 | |
| 1124285127 | PAUL | RICHARD | ALAN | 6090 26TH ST W | BRADENTON | FL | 342074401 | |
| 1194935825 | SMITH | THOMAS | WOODROW | 6090 26TH ST W | BRADENTON | FL | 342074401 |