Gonzalo Javier Carrizo, MD | |
2380 Harbor Blvd, Port Charlotte, FL 33952-5024 | |
(941) 260-0325 | |
(941) 766-0423 |
Full Name | Gonzalo Javier Carrizo |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 2380 Harbor Blvd, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801933171 | NPI | - | NPPES |
000612700 | Medicaid | FL | |
P00717548 | Other | FL | RR MEDICARE |
Entity Name | Golden State Cardiac And Thoracic Surgery Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699047225 PECOS PAC ID: 7315109428 Enrollment ID: O20120508000219 |
Mailing Address | Practice Location Address |
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Gonzalo Javier Carrizo, MD 2380 Harbor Blvd, Port Charlotte, FL 33952-5024 Ph: (941) 260-0325 | Gonzalo Javier Carrizo, MD 2380 Harbor Blvd, Port Charlotte, FL 33952-5024 Ph: (941) 260-0325 |
Dr. Elias Rilloraza Quintos, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4130 Tamiami Trl, Suite 302, Port Charlotte, FL 33952 Phone: 941-206-0203 Fax: 941-629-0503 | |
Dr. Dennis J Stapleton, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2525 Harbor Blvd Ste 203, Port Charlotte, FL 33952 Phone: 941-255-7020 Fax: 866-292-7261 | |
Dr. Luis A. Dibos, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2380 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-206-0325 Fax: 941-766-0423 | |
Narongsak Guevara Boonswang, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2380 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-206-0325 Fax: 941-766-0423 |