| Gulfview Medical Institute Pllc | |
|
21942 Edgewater Dr Port Charlotte FL 33952-9723 | |
| (941) 505-2100 | |
| (941) 505-6100 |
| Full Name | Gulfview Medical Institute Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 21942 Edgewater Dr, Port Charlotte, Florida |
| Authorized Official Name and Position | Joseph Ravid (OWNER) |
| Authorized Official Contact | 9415052100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulfview Medical Institute Pllc 21942 Edgewater Dr Ste 1211 Port Charlotte FL 33952-9723 Ph: (941) 505-2100 | Gulfview Medical Institute Pllc 21942 Edgewater Dr Port Charlotte FL 33952-9723 Ph: (941) 505-2100 |
| NPI Number | 1851680789 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 06/30/2020 |
| Medicare PECOS PAC ID | 9335327139 |
|---|---|
| Medicare Enrollment ID | O20110627000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851680789 | NPI | - | NPPES |
| 003XX | Other | FL | BC/BS |
| FB001A | Other | FL | MEDICARE |
| DS5131 | Other | FL | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME 106244 (Florida) | Primary |
| Provider Name | Ruben Guzman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316051881 PECOS PAC ID: 4486846813 Enrollment ID: I20110223000582 |
| Provider Name | Joseph Ravid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548466519 PECOS PAC ID: 9234317033 Enrollment ID: I20110627000412 |
| Provider Name | Jennifer L Caluori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639415789 PECOS PAC ID: 6507002243 Enrollment ID: I20130424000913 |
| Provider Name | Melissa Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427457936 PECOS PAC ID: 6204058381 Enrollment ID: I20141104002488 |
| Provider Name | Rae A High |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487033072 PECOS PAC ID: 6507171162 Enrollment ID: I20150812006954 |
| Provider Name | Natalie S Desantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669914453 PECOS PAC ID: 4880976265 Enrollment ID: I20170301002466 |
| Provider Name | David R Persaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609087527 PECOS PAC ID: 4385815182 Enrollment ID: I20200206000395 |
| Provider Name | Dennis J Rikken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427230564 PECOS PAC ID: 7315364536 Enrollment ID: I20200902000178 |
| Provider Name | Brett Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053928804 PECOS PAC ID: 1557772019 Enrollment ID: I20201204001823 |
| Provider Name | Tina M Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699438390 PECOS PAC ID: 7416334578 Enrollment ID: I20220511002735 |
| Provider Name | Francesca Escarra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669934485 PECOS PAC ID: 9335508001 Enrollment ID: I20240425001638 |
Express Care Medical Cinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3161 Harbor Blvd, Suite A, Port Charlotte, FL 33952 Phone: 941-629-1218 Fax: 941-625-9465 | |
Carlton R. Vollberg M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2852 Tamiami Trl Ste 6, Port Charlotte, FL 33952 Phone: 941-743-4445 Fax: 941-743-4287 | |
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