First Physician Group | |
842 Sunset Lake Blvd Suite 401 Venice FL 34292-7551 | |
(941) 497-8220 | |
(941) 497-8239 |
Full Name | First Physician Group |
---|---|
Speciality | Internal Medicine |
Location | 842 Sunset Lake Blvd, Venice, Florida |
Authorized Official Name and Position | Ilene Gilbert (COO) |
Authorized Official Contact | 9419178720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
First Physician Group Po Box 863407 Orlando FL 32886-3407 Ph: (941) 917-2600 | First Physician Group 842 Sunset Lake Blvd Suite 401 Venice FL 34292-7551 Ph: (941) 497-8220 |
NPI Number | 1033184098 |
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Provider Enumeration Date | 02/22/2006 |
Last Update Date | 04/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033184098 | NPI | - | NPPES |
376537700 | Medicaid | FL | |
33181 | Other | FL | BCBS FLORIDA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Florida) | Secondary |
207R00000X | Internal Medicine | (Florida) | Primary |
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