| Charlotte Pain Management Center Inc | |
|
3109 Tamiami Trl Unit 3 Port Charlotte FL 33952-8046 | |
| (941) 629-3000 | |
| (941) 629-6711 |
| Full Name | Charlotte Pain Management Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 3109 Tamiami Trl, Port Charlotte, Florida |
| Authorized Official Name and Position | Nancy J Harris (OWNER) |
| Authorized Official Contact | 9416293000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Pain Management Center Inc 3109 Tamiami Trl Unit 3 Port Charlotte FL 33952-8046 Ph: (941) 629-3000 | Charlotte Pain Management Center Inc 3109 Tamiami Trl Unit 3 Port Charlotte FL 33952-8046 Ph: (941) 629-3000 |
| NPI Number | 1275797714 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 07/03/2019 |
| Medicare PECOS PAC ID | 6800962176 |
|---|---|
| Medicare Enrollment ID | O20080910000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275797714 | NPI | - | NPPES |
| RN1855592 | Other | FL | FLORIDA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
| Provider Name | Anjan K Ghosh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124089354 PECOS PAC ID: 4789645375 Enrollment ID: I20041026001180 |
| Provider Name | Joseph F Condon |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1750310223 PECOS PAC ID: 9335249549 Enrollment ID: I20091029000191 |
| Provider Name | Catherine Elizabeth Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669923041 PECOS PAC ID: 0446584163 Enrollment ID: I20190628000604 |
| Provider Name | Erickson Angen Baldera Garces |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447903661 PECOS PAC ID: 4486019254 Enrollment ID: I20230501000537 |
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 |