| Guardian Health Llc | |
|
300 Tamiami Trl S Unit 1 Venice FL 34285-2422 | |
| (941) 303-5713 | |
| (941) 786-3914 |
| Full Name | Guardian Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Tamiami Trl S Unit 1, Venice, Florida |
| Authorized Official Name and Position | Gavin Whapshare (OWNER) |
| Authorized Official Contact | 9413055713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Health Llc 300 Tamiami Trl S Unit 1 Venice FL 34285-2422 Ph: (941) 303-5713 | Guardian Health Llc 300 Tamiami Trl S Unit 1 Venice FL 34285-2422 Ph: (941) 303-5713 |
| NPI Number | 1467129452 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 1658763909 |
|---|---|
| Medicare Enrollment ID | O20220118000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467129452 | NPI | - | NPPES |
| Provider Name | Sherry Lynn Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083996706 PECOS PAC ID: 5395835326 Enrollment ID: I20111017000653 |
| Provider Name | Gavin Whapshare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003171901 PECOS PAC ID: 0840504585 Enrollment ID: I20150807015296 |
| Provider Name | Jessica Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912643198 PECOS PAC ID: 6204207657 Enrollment ID: I20230120002605 |
| Provider Name | Calvin H Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932227725 PECOS PAC ID: 8426022336 Enrollment ID: I20230131001443 |
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