| Jose R Antunes Md Pa | |
|
2400 Fruitville Rd Sarasota FL 34237-6223 | |
| (941) 365-0333 | |
| (941) 955-3181 |
| Full Name | Jose R Antunes Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 Fruitville Rd, Sarasota, Florida |
| Authorized Official Name and Position | Jose R Antunes (PHYSICIAN OWNER) |
| Authorized Official Contact | 9413650333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose R Antunes Md Pa 2400 Fruitville Rd Sarasota FL 34237-6223 Ph: (941) 365-0333 | Jose R Antunes Md Pa 2400 Fruitville Rd Sarasota FL 34237-6223 Ph: (941) 365-0333 |
| NPI Number | 1407062722 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 10/01/2007 |
| Medicare PECOS PAC ID | 2668504739 |
|---|---|
| Medicare Enrollment ID | O20100726000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407062722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME26810 (Florida) | Primary |
| Provider Name | Jose R. Antunes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720032253 PECOS PAC ID: 5395877468 Enrollment ID: I20100726000332 |
| Provider Name | Jill Drachler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417005679 PECOS PAC ID: 0941493274 Enrollment ID: I20101019001447 |
| Provider Name | Nyaya M Kricos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073039681 PECOS PAC ID: 2769747062 Enrollment ID: I20180606002939 |
| Provider Name | Sajid Khan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568946820 PECOS PAC ID: 1355678194 Enrollment ID: I20190816000181 |
| Provider Name | James William Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982263760 PECOS PAC ID: 3072945583 Enrollment ID: I20191120002888 |
| Provider Name | Irena Stefan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871140087 PECOS PAC ID: 9739518309 Enrollment ID: I20200402000088 |
| Provider Name | Dynie Stanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487246401 PECOS PAC ID: 2062812084 Enrollment ID: I20210614001679 |
| Provider Name | Ruth Sosa-jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396327086 PECOS PAC ID: 7416358296 Enrollment ID: I20210630003096 |
| Provider Name | Unknown Komal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235616541 PECOS PAC ID: 8022421072 Enrollment ID: I20230719003338 |
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