| Infectious Diseases Consultants, P.a. | |
|
21205 Olean Blvd Ste A Port Charlotte FL 33952-6756 | |
| (941) 613-2800 | |
| (941) 613-2801 |
| Full Name | Infectious Diseases Consultants, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 21205 Olean Blvd Ste A, Port Charlotte, Florida |
| Authorized Official Name and Position | Eileen Richard (OFFICE MANAGER) |
| Authorized Official Contact | 9416132800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Consultants, P.a. 21205 Olean Blvd Ste A Port Charlotte FL 33952-6756 Ph: (941) 613-2800 | Infectious Diseases Consultants, P.a. 21205 Olean Blvd Ste A Port Charlotte FL 33952-6756 Ph: (941) 613-2800 |
| NPI Number | 1043308141 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 02/08/2022 |
| Medicare PECOS PAC ID | 2860399680 |
|---|---|
| Medicare Enrollment ID | O20031218000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043308141 | NPI | - | NPPES |
| 440002698 | Other | FL | RR MEDICARE |
| P00338188 | Other | FL | RR MEDICARE |
| 271223700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME0056397 (Florida) | Primary |
| Provider Name | Karl G Damiani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497743744 PECOS PAC ID: 4284692336 Enrollment ID: I20041221000853 |
| Provider Name | Luong Phu Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518120005 PECOS PAC ID: 1850540576 Enrollment ID: I20121012000243 |
| Provider Name | Ndubuisi C Edeoga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497919039 PECOS PAC ID: 9436325495 Enrollment ID: I20130730000906 |
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 | |
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 |