| Community Physicians Of North Port Pa | |
|
14400 Tamiami Trl North Port FL 34287-2703 | |
| (941) 423-5056 | |
| (941) 423-5068 |
| Full Name | Community Physicians Of North Port Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 14400 Tamiami Trl, North Port, Florida |
| Authorized Official Name and Position | Jamie S Whidden (OFFICE MANAGER) |
| Authorized Official Contact | 9414235053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Physicians Of North Port Pa 14400 Tamiami Trl North Port FL 34287-2703 Ph: (941) 423-5056 | Community Physicians Of North Port Pa 14400 Tamiami Trl North Port FL 34287-2703 Ph: (941) 423-5056 |
| NPI Number | 1871633040 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 02/10/2020 |
| Medicare PECOS PAC ID | 7214950823 |
|---|---|
| Medicare Enrollment ID | O20060110000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871633040 | NPI | - | NPPES |
| 10D0969781 | Other | FL | CLIA |
| 0001242368 | Other | FL | HUMANA |
| 77227 | Other | FL | BCBS OF FLORIDA |
| 338914 | Other | AETNA | |
| DE0739 | Other | FL | PALMETTO/RAILROAD MEDICARE |
| 20773 | Other | FL | COLA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS7878 (Florida) | Secondary |
| 207R00000X | Internal Medicine | ME 0066832 (Florida) | Primary |
| Provider Name | Douglas E Neagles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699727586 PECOS PAC ID: 4385619667 Enrollment ID: I20040831000193 |
| Provider Name | Larisa Meleks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568567857 PECOS PAC ID: 0648212993 Enrollment ID: I20050526000142 |
| Provider Name | Juan M Masi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063528230 PECOS PAC ID: 3971545245 Enrollment ID: I20050526000250 |
| Provider Name | Melissa Joy Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427291103 PECOS PAC ID: 4486706736 Enrollment ID: I20090716000568 |
| Provider Name | Rachael Luther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366840332 PECOS PAC ID: 2062713894 Enrollment ID: I20151218002188 |
North Port Primary Care Association Pl Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2500 Bobcat Village Center Rd Unit E, North Port, FL 34288 Phone: 941-429-4744 Fax: 941-429-5754 | |
Maxhealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4451 Aidan Ln Unit 201, North Port, FL 34287 Phone: 941-423-1111 Fax: 941-423-2274 | |
Gulf Coast Medical Group North Port Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18659 Tamiami Trl Ste A, North Port, FL 34287 Phone: 941-429-3416 Fax: 941-429-3430 | |
Miracle Resort Health International Spa Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5400 S Biscayne Dr, Suite A, North Port, FL 34287 Phone: 941-423-0800 Fax: 941-423-0232 | |
Gcmg-north Port Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14575 Tamiami Trl, North Port, FL 34287 Phone: 941-429-3400 Fax: 941-429-3430 | |
Philippe Noel Md And Anna Berenstein Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5400 S Biscayne Dr, B, North Port, FL 34287 Phone: 516-448-6600 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13815 Tamiami Trail N, North Port, FL 34287 Phone: 941-426-4900 Fax: 239-423-9422 |