| Gulf Shore Internal Medicine, P.a. | |
|
9371 Cypress Lake Dr Ste 12 Fort Myers FL 33919-4995 | |
| (239) 440-6456 | |
| (239) 236-0337 |
| Full Name | Gulf Shore Internal Medicine, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9371 Cypress Lake Dr Ste 12, Fort Myers, Florida |
| Authorized Official Name and Position | Lisa Nassif (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 5613860600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Shore Internal Medicine, P.a. Po Box 9279 Jupiter FL 33468-9279 Ph: (239) 440-6456 | Gulf Shore Internal Medicine, P.a. 9371 Cypress Lake Dr Ste 12 Fort Myers FL 33919-4995 Ph: (239) 440-6456 |
| NPI Number | 1255501268 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 01/15/2024 |
| Medicare PECOS PAC ID | 5294746129 |
|---|---|
| Medicare Enrollment ID | O20060508000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255501268 | NPI | - | NPPES |
| DF4682 | Other | PALMETTO GBA GROUP | |
| K9799 | Other | FL | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS8532 (Florida) | Primary |
| Provider Name | Roderick Kim Nassif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487748356 PECOS PAC ID: 7113813007 Enrollment ID: I20040226000709 |
| Provider Name | Cindy Zughbi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033400353 PECOS PAC ID: 5698995801 Enrollment ID: I20141009001275 |
| Provider Name | Alexis Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114301827 PECOS PAC ID: 4183931413 Enrollment ID: I20150917002778 |
| Provider Name | Stephanie Y Dumas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780138008 PECOS PAC ID: 9234425448 Enrollment ID: I20160913002895 |
| Provider Name | Mohamed Ibrahim Ayash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346689742 PECOS PAC ID: 5193011757 Enrollment ID: I20170810002829 |
| Provider Name | Robert Weir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154618916 PECOS PAC ID: 7719209063 Enrollment ID: I20180122000436 |
| Provider Name | Gabriel Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598132698 PECOS PAC ID: 9335443381 Enrollment ID: I20180925000526 |
| Provider Name | Kindra S Browning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235125022 PECOS PAC ID: 4880651348 Enrollment ID: I20210720000845 |
| Provider Name | Abdallah M Al Moussa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497107759 PECOS PAC ID: 1850685520 Enrollment ID: I20221024002308 |
| Provider Name | Miroslav Rafael Brzobohaty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407413636 PECOS PAC ID: 4385009828 Enrollment ID: I20230504003279 |
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 |