Gulfcoast Medical Housecalls, Llc | |
24430 Sandhill Blvd Att Npp Unit 303 Punta Gorda FL 33983-5216 | |
(941) 244-4414 | |
(941) 244-4415 |
Full Name | Gulfcoast Medical Housecalls, Llc |
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Speciality | Clinic/Center |
Location | 24430 Sandhill Blvd, Punta Gorda, Florida |
Authorized Official Name and Position | Stanley Mark Dratler (OWNER) |
Authorized Official Contact | 2397316677 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gulfcoast Medical Housecalls, Llc 24430 Sandhill Blvd Att Npp Unit 303 Punta Gorda FL 33983-5216 Ph: (941) 244-4414 | Gulfcoast Medical Housecalls, Llc 24430 Sandhill Blvd Att Npp Unit 303 Punta Gorda FL 33983-5216 Ph: (941) 244-4414 |
NPI Number | 1033590633 |
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Provider Enumeration Date | 06/09/2015 |
Last Update Date | 07/09/2015 |
Medicare PECOS PAC ID | 9931413861 |
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Medicare Enrollment ID | O20150805007545 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033590633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | ME37001 (Florida) | Primary |
Provider Name | Stanley M Dratler |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1104847672 PECOS PAC ID: 5496756868 Enrollment ID: I20070127000010 |
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