| Cape Coral Hospitalists Inc | |
|
13607 Pine Villa Ln Fort Myers FL 33912-1617 | |
| (239) 938-6192 | |
| Not Available |
| Full Name | Cape Coral Hospitalists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13607 Pine Villa Ln, Fort Myers, Florida |
| Authorized Official Name and Position | Anand Raj Mahadevan (PRESIDENT) |
| Authorized Official Contact | 2399386192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Coral Hospitalists Inc 13607 Pine Villa Ln Fort Myers FL 33912-1617 Ph: (239) 938-6192 | Cape Coral Hospitalists Inc 13607 Pine Villa Ln Fort Myers FL 33912-1617 Ph: (239) 938-6192 |
| NPI Number | 1336209790 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 06/12/2020 |
| Medicare PECOS PAC ID | 2961504923 |
|---|---|
| Medicare Enrollment ID | O20070221000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336209790 | NPI | - | NPPES |
| 269969900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME86995 (Florida) | Primary |
| Provider Name | Bruce M Bridewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144293044 PECOS PAC ID: 5395644298 Enrollment ID: I20040108000507 |
| Provider Name | Ketty Maurice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053368043 PECOS PAC ID: 0446143382 Enrollment ID: I20040205000130 |
| Provider Name | Jelin N Israel-cvik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679560122 PECOS PAC ID: 6901792589 Enrollment ID: I20040223000675 |
| Provider Name | Socrates Perez-rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215911011 PECOS PAC ID: 9638060049 Enrollment ID: I20040324000394 |
| Provider Name | Anand R Mahadevan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245238245 PECOS PAC ID: 7113914953 Enrollment ID: I20040810000929 |
| Provider Name | Jean Max Herve Augustin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144202052 PECOS PAC ID: 3971579863 Enrollment ID: I20040902000331 |
| Provider Name | Jean F Rodney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861400343 PECOS PAC ID: 5193788834 Enrollment ID: I20041104000528 |
| Provider Name | Jerilee Emma Lomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093889529 PECOS PAC ID: 9032176565 Enrollment ID: I20041216000608 |
| Provider Name | Rashid I Saba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376612481 PECOS PAC ID: 9133177454 Enrollment ID: I20050104000370 |
| Provider Name | John Weaver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174547467 PECOS PAC ID: 0345292728 Enrollment ID: I20050214000654 |
| Provider Name | Ella Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821691 PECOS PAC ID: 1951330935 Enrollment ID: I20050810000396 |
| Provider Name | Tanzeen Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437140480 PECOS PAC ID: 2567479512 Enrollment ID: I20060316000029 |
| Provider Name | Mark J Rosenthal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659470201 PECOS PAC ID: 7719996677 Enrollment ID: I20060420000498 |
| Provider Name | Ovidiu Ranta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184638025 PECOS PAC ID: 2567468663 Enrollment ID: I20061012000575 |
| Provider Name | Vlatko Salopek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861435695 PECOS PAC ID: 4688672017 Enrollment ID: I20061120000333 |
| Provider Name | Stefanie A Colavito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548282916 PECOS PAC ID: 1355393034 Enrollment ID: I20061204000337 |
| Provider Name | Jose D Ceron-fuentes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861581852 PECOS PAC ID: 5597764027 Enrollment ID: I20061212000069 |
| Provider Name | Angelica R Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013012566 PECOS PAC ID: 4183626765 Enrollment ID: I20070212000041 |
| Provider Name | Tatwig G Guirguis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851402630 PECOS PAC ID: 7810963402 Enrollment ID: I20070330000038 |
| Provider Name | Charlene T Deluca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093748279 PECOS PAC ID: 0244334233 Enrollment ID: I20070402000006 |
| Provider Name | Eihab Hassanein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063619153 PECOS PAC ID: 2466546361 Enrollment ID: I20070924000150 |
| Provider Name | Aneeta P Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962528885 PECOS PAC ID: 9537255815 Enrollment ID: I20071017000950 |
| Provider Name | Sundaram V Nagarathinam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134118532 PECOS PAC ID: 1658468053 Enrollment ID: I20071101000353 |
| Provider Name | Alejandro Victoria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043200934 PECOS PAC ID: 2062502560 Enrollment ID: I20071220000601 |
| Provider Name | Clarisol M Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811988512 PECOS PAC ID: 5092892935 Enrollment ID: I20080402000894 |
| Provider Name | Juan J Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427210970 PECOS PAC ID: 4587730593 Enrollment ID: I20080827000358 |
| Provider Name | Ruben Perez-casas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174799084 PECOS PAC ID: 3971653999 Enrollment ID: I20090615000048 |
| Provider Name | Gregory Romaniuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144246729 PECOS PAC ID: 9335293265 Enrollment ID: I20090812000338 |
| Provider Name | Jose F Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669682506 PECOS PAC ID: 7113071390 Enrollment ID: I20090822000119 |
| Provider Name | Manuel B Jimenez Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154550762 PECOS PAC ID: 7315084670 Enrollment ID: I20091020000247 |
| Provider Name | Francisco J Quiles-cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184822819 PECOS PAC ID: 9234276122 Enrollment ID: I20091026000612 |
| Provider Name | Shapour Steve Mirmanesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669407375 PECOS PAC ID: 4789661802 Enrollment ID: I20100512001008 |
| Provider Name | Tracy Sollitto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205902061 PECOS PAC ID: 4284768813 Enrollment ID: I20100817001543 |
| Provider Name | Allen T Jacobs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467410464 PECOS PAC ID: 5799819314 Enrollment ID: I20100818000951 |
| Provider Name | Tuan Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063678498 PECOS PAC ID: 1456485929 Enrollment ID: I20100819000301 |
| Provider Name | Irit Hemed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255398665 PECOS PAC ID: 5799819207 Enrollment ID: I20100819000767 |
| Provider Name | Luis A Aponte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790818607 PECOS PAC ID: 7315047180 Enrollment ID: I20100920000991 |
| Provider Name | Anita B Shinde |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477864379 PECOS PAC ID: 5193918563 Enrollment ID: I20101018000808 |
| Provider Name | Fernando A Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619162658 PECOS PAC ID: 2769664879 Enrollment ID: I20110310000813 |
| Provider Name | Natalya Suchodolski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609885722 PECOS PAC ID: 4880871458 Enrollment ID: I20110608000044 |
| Provider Name | Keri Mason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932293883 PECOS PAC ID: 0244418481 Enrollment ID: I20110617000193 |
| Provider Name | Oscar H Rodriguez Siguenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275723991 PECOS PAC ID: 7810084274 Enrollment ID: I20110627000639 |
| Provider Name | Viswanathan Nagarajan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043285141 PECOS PAC ID: 6507034253 Enrollment ID: I20110722000606 |
| Provider Name | Dora Ancaya-lujan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821069030 PECOS PAC ID: 3678666211 Enrollment ID: I20110802000767 |
| Provider Name | Elina J Tomski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952566903 PECOS PAC ID: 7012187115 Enrollment ID: I20110829000285 |
| Provider Name | Natalia Zacharievich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841524790 PECOS PAC ID: 0345410023 Enrollment ID: I20110907001473 |
| Provider Name | Jason D Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386932697 PECOS PAC ID: 4789855214 Enrollment ID: I20110914000148 |
| Provider Name | Baldir A Lopez-acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245547355 PECOS PAC ID: 6608047162 Enrollment ID: I20110914000403 |
| Provider Name | Alfonso Garcia Bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093972713 PECOS PAC ID: 6002087723 Enrollment ID: I20110928000704 |
| Provider Name | Sridevi Manginani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609156975 PECOS PAC ID: 0648444646 Enrollment ID: I20111130000587 |
| Provider Name | Javier E Alfonso |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093952442 PECOS PAC ID: 6800063132 Enrollment ID: I20120126000805 |
| Provider Name | Tej Kumar K Atluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710180880 PECOS PAC ID: 4183758238 Enrollment ID: I20121116000376 |
| Provider Name | Jorge M Silverio Ferreiro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578895967 PECOS PAC ID: 1658523113 Enrollment ID: I20121207000080 |
| Provider Name | Munish Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851328363 PECOS PAC ID: 3971509464 Enrollment ID: I20130218000171 |
| Provider Name | Ellen Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952397978 PECOS PAC ID: 8224206222 Enrollment ID: I20130603000222 |
| Provider Name | Jimmy C Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699092627 PECOS PAC ID: 5799925350 Enrollment ID: I20130703000188 |
| Provider Name | Anyeri K Peguero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134431463 PECOS PAC ID: 0941440077 Enrollment ID: I20130712000257 |
| Provider Name | Nicole L Beiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821437286 PECOS PAC ID: 9739320250 Enrollment ID: I20130725000966 |
| Provider Name | Edward Allen Kirsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396911533 PECOS PAC ID: 9638220072 Enrollment ID: I20130815000864 |
| Provider Name | Ana Luchin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801114483 PECOS PAC ID: 8123279619 Enrollment ID: I20130905000826 |
| Provider Name | Rachel Baerga Duperoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508167628 PECOS PAC ID: 7719120237 Enrollment ID: I20140217000203 |
| Provider Name | Jose E Negrin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912226275 PECOS PAC ID: 7618106527 Enrollment ID: I20140218000827 |
| Provider Name | Rhonda R Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720403074 PECOS PAC ID: 7911120878 Enrollment ID: I20140521001654 |
| Provider Name | Michele D Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407877715 PECOS PAC ID: 4284739871 Enrollment ID: I20140618002000 |
| Provider Name | Jose Cardona-guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861709230 PECOS PAC ID: 1456597707 Enrollment ID: I20140724001733 |
| Provider Name | Alexander Matthew Drew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538321765 PECOS PAC ID: 9739363466 Enrollment ID: I20140730000402 |
| Provider Name | Evan Kamperman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225324767 PECOS PAC ID: 7315186038 Enrollment ID: I20140805000530 |
| Provider Name | Muhammad Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841586906 PECOS PAC ID: 5092933598 Enrollment ID: I20140825002540 |
| Provider Name | Anil Nasta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528358744 PECOS PAC ID: 8224256672 Enrollment ID: I20140826001728 |
| Provider Name | Manuel Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295014348 PECOS PAC ID: 3678792967 Enrollment ID: I20140918001658 |
| Provider Name | Elie Jose Checo Heinsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467764381 PECOS PAC ID: 9739322884 Enrollment ID: I20141205000745 |
| Provider Name | Shikha Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205165610 PECOS PAC ID: 4082840590 Enrollment ID: I20150309000686 |
| Provider Name | Clifford Jean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285788570 PECOS PAC ID: 5597661603 Enrollment ID: I20150415001944 |
| Provider Name | Ranje A Mohamadameen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417351982 PECOS PAC ID: 7517287543 Enrollment ID: I20150514002409 |
| Provider Name | Blas Perez De La Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154697258 PECOS PAC ID: 8820318777 Enrollment ID: I20150518001334 |
| Provider Name | Myrlene Miot-desmornes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194120642 PECOS PAC ID: 4880914464 Enrollment ID: I20150521001798 |
| Provider Name | Keisha R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902291263 PECOS PAC ID: 5991026346 Enrollment ID: I20150610001568 |
| Provider Name | Jimena A Blandon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922319003 PECOS PAC ID: 7113231218 Enrollment ID: I20150803002373 |
| Provider Name | Valerie Gironda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073834123 PECOS PAC ID: 7517183122 Enrollment ID: I20150805008781 |
| Provider Name | Kevin Nesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407116858 PECOS PAC ID: 2163737453 Enrollment ID: I20150814014854 |
| Provider Name | Ebele Uzoamaka Ezenwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790160653 PECOS PAC ID: 3375850282 Enrollment ID: I20150909002123 |
| Provider Name | Monika Arnp Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326421736 PECOS PAC ID: 0345557088 Enrollment ID: I20150914001708 |
| Provider Name | Patrick M Matt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578823654 PECOS PAC ID: 5799093571 Enrollment ID: I20150928001626 |
| Provider Name | Rene Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568762763 PECOS PAC ID: 4284878257 Enrollment ID: I20151214001772 |
| Provider Name | Remberto Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558392134 PECOS PAC ID: 0345434643 Enrollment ID: I20160226000347 |
| Provider Name | Nadine-ann O Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659789188 PECOS PAC ID: 4688970585 Enrollment ID: I20160302001347 |
| Provider Name | Kara Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770948861 PECOS PAC ID: 4385940550 Enrollment ID: I20160315000355 |
| Provider Name | Aaron E Fuller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396909008 PECOS PAC ID: 4183850076 Enrollment ID: I20160406000839 |
| Provider Name | Jose E Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548506553 PECOS PAC ID: 9234438961 Enrollment ID: I20160502002404 |
| Provider Name | Abdimomun Iuldashev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609210665 PECOS PAC ID: 5294026449 Enrollment ID: I20160620001783 |
| Provider Name | Courtney Leigh Justmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932441870 PECOS PAC ID: 6507158367 Enrollment ID: I20160714001916 |
| Provider Name | Sharmila S Tilak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215377379 PECOS PAC ID: 8325331549 Enrollment ID: I20160726002171 |
| Provider Name | Ader Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093055824 PECOS PAC ID: 7911290044 Enrollment ID: I20160726002913 |
| Provider Name | Gary Trewick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336482850 PECOS PAC ID: 6608179858 Enrollment ID: I20160916001686 |
| Provider Name | Jason M Lakatos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548609944 PECOS PAC ID: 3375851793 Enrollment ID: I20160920003089 |
| Provider Name | Radomir Piwko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033347166 PECOS PAC ID: 1052577335 Enrollment ID: I20161003002131 |
| Provider Name | Rachael Nambusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255985 PECOS PAC ID: 8729394267 Enrollment ID: I20161005003084 |
| Provider Name | Patrin Suppatkul Kongkaeow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881034650 PECOS PAC ID: 8224359005 Enrollment ID: I20161028001536 |
| Provider Name | Jessica M Abruzzino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982047510 PECOS PAC ID: 2860770666 Enrollment ID: I20161029000174 |
| Provider Name | Alejandro Barreda Vidal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285072553 PECOS PAC ID: 7113205915 Enrollment ID: I20161029000223 |
| Provider Name | Michael H Helton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376532085 PECOS PAC ID: 6103898051 Enrollment ID: I20161031000994 |
| Provider Name | Jean-jacque Vel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508281437 PECOS PAC ID: 8921391475 Enrollment ID: I20161031002420 |
| Provider Name | Adolfo Romero Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376857904 PECOS PAC ID: 4486934841 Enrollment ID: I20161201001313 |
| Provider Name | Mustafa Rikabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588077697 PECOS PAC ID: 8820370950 Enrollment ID: I20170124002857 |
| Provider Name | Miriam M Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174078760 PECOS PAC ID: 3173808870 Enrollment ID: I20170321000009 |
| Provider Name | Toni D Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588195754 PECOS PAC ID: 3476830332 Enrollment ID: I20170502000002 |
| Provider Name | Kivit Lima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104104348 PECOS PAC ID: 6103041686 Enrollment ID: I20170627001925 |
| Provider Name | Cynthia G Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346401353 PECOS PAC ID: 4981891033 Enrollment ID: I20171009003582 |
| Provider Name | Nadezhda Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568874667 PECOS PAC ID: 6800194135 Enrollment ID: I20171113000421 |
| Provider Name | Juan C Salgado Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417205154 PECOS PAC ID: 7315205044 Enrollment ID: I20171229000420 |
| Provider Name | Kattly Andre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396103941 PECOS PAC ID: 0446548010 Enrollment ID: I20180320001557 |
| Provider Name | Deborah A.c. Houk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295000545 PECOS PAC ID: 8224349519 Enrollment ID: I20180615001306 |
| Provider Name | Jose Cardoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386037224 PECOS PAC ID: 6507151412 Enrollment ID: I20180726003052 |
| Provider Name | Winay M Virkud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356761472 PECOS PAC ID: 3971851775 Enrollment ID: I20180810001599 |
| Provider Name | Dairo Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073992947 PECOS PAC ID: 6800101114 Enrollment ID: I20180823002087 |
| Provider Name | Marco Antonio Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841530649 PECOS PAC ID: 2668766759 Enrollment ID: I20180913003134 |
| Provider Name | Ana Laura Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235633488 PECOS PAC ID: 4082967054 Enrollment ID: I20181022003360 |
| Provider Name | Piotr Sobolewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922559160 PECOS PAC ID: 0547540668 Enrollment ID: I20190905002637 |
| Provider Name | Ann Imber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164837233 PECOS PAC ID: 3173814845 Enrollment ID: I20191101002323 |
| Provider Name | Janet Coyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801896741 PECOS PAC ID: 8820190382 Enrollment ID: I20191231002281 |
| Provider Name | Sagarika Sinha Sabbagh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205177698 PECOS PAC ID: 2264723402 Enrollment ID: I20200611003103 |
| Provider Name | Lavanya Ravipati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881128056 PECOS PAC ID: 2860766102 Enrollment ID: I20200612000726 |
| Provider Name | Avinash Sukhram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093246548 PECOS PAC ID: 7618221920 Enrollment ID: I20210521000025 |
| Provider Name | Claudia Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164017091 PECOS PAC ID: 5890194773 Enrollment ID: I20210526000234 |
| Provider Name | Yoel Prince |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164959128 PECOS PAC ID: 5193138568 Enrollment ID: I20210621000404 |
| Provider Name | Yandro Leal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932690021 PECOS PAC ID: 0042611501 Enrollment ID: I20210622002652 |
| Provider Name | Gopichand Naguboyina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710203161 PECOS PAC ID: 6406040880 Enrollment ID: I20210623000026 |
| Provider Name | Leon Lipkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972612885 PECOS PAC ID: 7012918667 Enrollment ID: I20210630001684 |
| Provider Name | Mailin Rivero Ortega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033615133 PECOS PAC ID: 3577967686 Enrollment ID: I20210811004474 |
| Provider Name | Barbarito Asin Cala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912670282 PECOS PAC ID: 1951792803 Enrollment ID: I20220103001583 |
| Provider Name | Yamila Diaz Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366013773 PECOS PAC ID: 0648665539 Enrollment ID: I20220310002442 |
| Provider Name | Kenny Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013571090 PECOS PAC ID: 3971987017 Enrollment ID: I20220908002161 |
| Provider Name | Modelyne Jean-gilles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912668484 PECOS PAC ID: 5991181141 Enrollment ID: I20220926003036 |
| Provider Name | Woodline Augustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457064065 PECOS PAC ID: 1850756610 Enrollment ID: I20230501000088 |
| Provider Name | Odete Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265074983 PECOS PAC ID: 3476909508 Enrollment ID: I20231026001184 |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
Lch- Peds Page Field Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lch-internal Medicine Matthew Drive Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |