Calvino Family Medicine Pllc | |
260 Milus St Punta Gorda FL 33950-3824 | |
(941) 637-0911 | |
(941) 637-9153 |
Full Name | Calvino Family Medicine Pllc |
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Speciality | Family Medicine |
Location | 260 Milus St, Punta Gorda, Florida |
Authorized Official Name and Position | Stephane Calvino (PHYSICIAN/OWNER) |
Authorized Official Contact | 9416370911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Calvino Family Medicine Pllc 260 Milus St Punta Gorda FL 33950-3824 Ph: (941) 637-0911 | Calvino Family Medicine Pllc 260 Milus St Punta Gorda FL 33950-3824 Ph: (941) 637-0911 |
NPI Number | 1780315259 |
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Provider Enumeration Date | 06/23/2022 |
Last Update Date | 08/04/2022 |
Medicare PECOS PAC ID | 8729460027 |
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Medicare Enrollment ID | O20220803001855 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780315259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Stephane M Calvino |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336357136 PECOS PAC ID: 4981790219 Enrollment ID: I20071018000329 |
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