| C&c Medical Group | |
|
1575 Pine Ridge Rd Ste 21 Naples FL 34109-2111 | |
| (239) 422-7097 | |
| (239) 422-7179 |
| Full Name | C&c Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1575 Pine Ridge Rd Ste 21, Naples, Florida |
| Authorized Official Name and Position | Jose Cardoso (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2394227097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C&c Medical Group 171 Arbor Blvd Naples FL 34119-4644 Ph: () - | C&c Medical Group 1575 Pine Ridge Rd Ste 21 Naples FL 34109-2111 Ph: (239) 422-7097 |
| NPI Number | 1548940703 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 6305299181 |
|---|---|
| Medicare Enrollment ID | O20240129001045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548940703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose Cardoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386037224 PECOS PAC ID: 6507151412 Enrollment ID: I20180726003052 |
| Provider Name | Dairo Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073992947 PECOS PAC ID: 6800101114 Enrollment ID: I20180823002087 |
| Provider Name | Jessica Castaneira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740669613 PECOS PAC ID: 6103131792 Enrollment ID: I20181219002863 |
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