| Harbor Medical Group Llc | |
|
21202 Olean Blvd Ste C1 Port Charlotte FL 33952-6725 | |
| (941) 889-7440 | |
| (941) 391-6089 |
| Full Name | Harbor Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21202 Olean Blvd Ste C1, Port Charlotte, Florida |
| Authorized Official Name and Position | Ahsan Kamal (OWNER) |
| Authorized Official Contact | 9418897440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Medical Group Llc 21202 Olean Blvd Ste C1 Port Charlotte FL 33952-6725 Ph: (941) 889-7440 | Harbor Medical Group Llc 21202 Olean Blvd Ste C1 Port Charlotte FL 33952-6725 Ph: (941) 889-7440 |
| NPI Number | 1689184335 |
|---|---|
| Provider Enumeration Date | 10/09/2017 |
| Last Update Date | 05/05/2023 |
| Medicare PECOS PAC ID | 5092078881 |
|---|---|
| Medicare Enrollment ID | O20180409000922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689184335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert Hull |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811930779 PECOS PAC ID: 8224941406 Enrollment ID: I20031112000658 |
| Provider Name | Ella Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821691 PECOS PAC ID: 1951330935 Enrollment ID: I20050810000396 |
| Provider Name | Birgit Bodine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568450831 PECOS PAC ID: 4486600756 Enrollment ID: I20050924000191 |
| Provider Name | Christopher Frederick Newcomb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972708451 PECOS PAC ID: 3870683485 Enrollment ID: I20071219000851 |
| Provider Name | Emil A Dameff |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811035314 PECOS PAC ID: 8426101775 Enrollment ID: I20090804000184 |
| Provider Name | John A Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528352192 PECOS PAC ID: 2567618903 Enrollment ID: I20120817000192 |
| Provider Name | Rebecca M Corcoran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255724712 PECOS PAC ID: 2860703493 Enrollment ID: I20150623001315 |
| Provider Name | Samantha Jean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023438512 PECOS PAC ID: 1153543160 Enrollment ID: I20170823001067 |
| Provider Name | Sreeja Gopidasan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235659848 PECOS PAC ID: 0547526840 Enrollment ID: I20171101002954 |
| Provider Name | Seema Joshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639670383 PECOS PAC ID: 6800148149 Enrollment ID: I20181015001148 |
| Provider Name | Gerdie Jean-smith |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1346669025 PECOS PAC ID: 0143535369 Enrollment ID: I20190218002663 |
| Provider Name | Glodene S Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689160913 PECOS PAC ID: 1456690924 Enrollment ID: I20190227001413 |
| Provider Name | Fides B Delart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568935724 PECOS PAC ID: 8628304011 Enrollment ID: I20190723001958 |
| Provider Name | Bernadette Serafini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497398606 PECOS PAC ID: 7113350323 Enrollment ID: I20191202001499 |
| Provider Name | Monica Skerski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245883925 PECOS PAC ID: 6103254750 Enrollment ID: I20200316000355 |
| Provider Name | Brandy Noack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871210492 PECOS PAC ID: 5395119705 Enrollment ID: I20230327002398 |
| Provider Name | Maria L Laquian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003514225 PECOS PAC ID: 8426413998 Enrollment ID: I20230505001515 |
| Provider Name | Jennifer Omolon Artus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215622394 PECOS PAC ID: 2769849744 Enrollment ID: I20230607000097 |
| Provider Name | Alexandra Rowlands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346019783 PECOS PAC ID: 6406295997 Enrollment ID: I20240418000628 |
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 | |
B Adhinarayanan Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Harbor Blvd, Suite 16, Port Charlotte, FL 33952 Phone: 941-613-1223 Fax: 941-613-1224 | |
Coastal Cardiololgy & Vascular Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Tamiami Trl, Suite 300, Port Charlotte, FL 33948 Phone: 941-625-6187 Fax: 941-625-7887 | |
Pamela Papola Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Tamiami Trl, 1, Port Charlotte, FL 33952 Phone: 941-255-3722 Fax: 941-255-3723 | |
Infectious Diseases Consultants, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21205 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 941-613-2800 Fax: 941-613-2801 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 Aaron St, Port Charlotte, FL 33952 Phone: 941-613-2222 Fax: 941-627-9950 |