| Blue Ocean Healthcare Physicians Group | |
|
21300 Gertrude Ave Suite 1 Port Charlotte FL 33952-5018 | |
| (941) 743-3311 | |
| (941) 743-3313 |
| Full Name | Blue Ocean Healthcare Physicians Group |
|---|---|
| Speciality | Family Medicine |
| Location | 21300 Gertrude Ave, Port Charlotte, Florida |
| Authorized Official Name and Position | Stephanie Joanne Shell (OWNER) |
| Authorized Official Contact | 9417433311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ocean Healthcare Physicians Group 21300 Gertrude Ave Suite 1 Port Charlotte FL 33952-5018 Ph: (941) 743-3311 | Blue Ocean Healthcare Physicians Group 21300 Gertrude Ave Suite 1 Port Charlotte FL 33952-5018 Ph: (941) 743-3311 |
| NPI Number | 1588823389 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 10/08/2008 |
| Medicare PECOS PAC ID | 8527130491 |
|---|---|
| Medicare Enrollment ID | O20080709000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588823389 | NPI | - | NPPES |
| 38218 | Other | FL | BCBS FL |
| DN4325 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8267 (Florida) | Primary |
| Provider Name | Steven D Shell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851472179 PECOS PAC ID: 2264415959 Enrollment ID: I20040612000014 |
| Provider Name | Stephanie J Shell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801977129 PECOS PAC ID: 3072596774 Enrollment ID: I20040612000020 |
Express Care Medical Cinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3161 Harbor Blvd, Suite A, Port Charlotte, FL 33952 Phone: 941-629-1218 Fax: 941-625-9465 | |
Carlton R. Vollberg M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2852 Tamiami Trl Ste 6, Port Charlotte, FL 33952 Phone: 941-743-4445 Fax: 941-743-4287 | |
B Adhinarayanan Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Harbor Blvd, Suite 16, Port Charlotte, FL 33952 Phone: 941-613-1223 Fax: 941-613-1224 | |
Coastal Cardiololgy & Vascular Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Tamiami Trl, Suite 300, Port Charlotte, FL 33948 Phone: 941-625-6187 Fax: 941-625-7887 | |
Pamela Papola Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Tamiami Trl, 1, Port Charlotte, FL 33952 Phone: 941-255-3722 Fax: 941-255-3723 | |
Infectious Diseases Consultants, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21205 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 941-613-2800 Fax: 941-613-2801 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 Aaron St, Port Charlotte, FL 33952 Phone: 941-613-2222 Fax: 941-627-9950 |