Gulf Gate Family Medicine | |
7250 Beneva Rd Sarasota FL 34238-2806 | |
(941) 921-0986 | |
(941) 921-0989 |
Full Name | Gulf Gate Family Medicine |
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Speciality | General Practice |
Location | 7250 Beneva Rd, Sarasota, Florida |
Authorized Official Name and Position | Achilles Kalnoky (OWNER/PRESIDENT) |
Authorized Official Contact | 9419210986 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gulf Gate Family Medicine 6981 Curtiss Ave Suite 4 Sarasota FL 34231-8100 Ph: (941) 921-0986 | Gulf Gate Family Medicine 7250 Beneva Rd Sarasota FL 34238-2806 Ph: (941) 921-0986 |
NPI Number | 1861844342 |
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Provider Enumeration Date | 07/07/2016 |
Last Update Date | 11/29/2021 |
Medicare PECOS PAC ID | 9830487065 |
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Medicare Enrollment ID | O20161004001100 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861844342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME115088 (Florida) | Primary |
Provider Name | Achilles Kalnoky |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245460690 PECOS PAC ID: 4981859402 Enrollment ID: I20130306000214 |
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