| James Villotti Md Pa | |
|
900 Pine St Suite 111 Englewood FL 34223-4418 | |
| (941) 474-9581 | |
| (941) 475-0748 |
| Full Name | James Villotti Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Pine St, Englewood, Florida |
| Authorized Official Name and Position | James Phillip Villotti (PRESIDENT) |
| Authorized Official Contact | 9414740023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Villotti Md Pa 900 Pine St Suite 111 Englewood FL 34223-4418 Ph: (941) 474-9581 | James Villotti Md Pa 900 Pine St Suite 111 Englewood FL 34223-4418 Ph: (941) 474-9581 |
| NPI Number | 1750682175 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 3678760600 |
|---|---|
| Medicare Enrollment ID | O20101203000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750682175 | NPI | - | NPPES |
| D51986 | Other | FL | UPIN |
| 10D0867516 | Other | FL | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 207Q00000X (Florida) | Primary |
| Provider Name | James Phillip Villotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932195435 PECOS PAC ID: 0840487880 Enrollment ID: I20101203000134 |
| Provider Name | Nicholas J Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063774149 PECOS PAC ID: 0840515847 Enrollment ID: I20190820000107 |
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