| Korunda Medical, Llc | |
|
4513 Executive Dr Naples FL 34119-8884 | |
| (239) 591-2803 | |
| (239) 594-5637 |
| Full Name | Korunda Medical, Llc |
|---|---|
| Speciality | Pain Medicine |
| Location | 4513 Executive Dr, Naples, Florida |
| Authorized Official Name and Position | Zdenko Korunda (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2395912803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Korunda Medical, Llc Po Box 110820 Naples FL 34108-0114 Ph: (239) 591-2803 | Korunda Medical, Llc 4513 Executive Dr Naples FL 34119-8884 Ph: (239) 591-2803 |
| NPI Number | 1609056282 |
|---|---|
| Provider Enumeration Date | 11/12/2007 |
| Last Update Date | 09/01/2017 |
| Medicare PECOS PAC ID | 5092895334 |
|---|---|
| Medicare Enrollment ID | O20071228000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609056282 | NPI | - | NPPES |
| Provider Name | George John Arcos |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1255432878 PECOS PAC ID: 7214827724 Enrollment ID: I20040318000401 |
| Provider Name | Zdenko Korunda |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1104876861 PECOS PAC ID: 9133138332 Enrollment ID: I20060417000636 |
| Provider Name | Nena Korunda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154372399 PECOS PAC ID: 3476508094 Enrollment ID: I20081212000439 |
| Provider Name | Scott Fuchs |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1982803284 PECOS PAC ID: 5991987588 Enrollment ID: I20110629000168 |
| Provider Name | Branko Strok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447498712 PECOS PAC ID: 8921276585 Enrollment ID: I20110726000400 |
| Provider Name | Brian Thomas Cannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306073770 PECOS PAC ID: 1153574132 Enrollment ID: I20121227000402 |
| Provider Name | Casey A Panepinto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528447059 PECOS PAC ID: 0547578734 Enrollment ID: I20151008001138 |
| Provider Name | Gregory J Buck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053845552 PECOS PAC ID: 7315224185 Enrollment ID: I20180831001560 |
| Provider Name | Maximilian Dyal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497365795 PECOS PAC ID: 6507281458 Enrollment ID: I20200810000964 |
| Provider Name | John Rexwinkle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699951129 PECOS PAC ID: 7618047994 Enrollment ID: I20200819001075 |
| Provider Name | Garrett Jaffe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003300146 PECOS PAC ID: 5294085064 Enrollment ID: I20210518000537 |
| Provider Name | Brandon A E Ruen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316438542 PECOS PAC ID: 1557619582 Enrollment ID: I20210719001203 |
| Provider Name | Natasha Rose Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043939143 PECOS PAC ID: 4981089604 Enrollment ID: I20220916001258 |
| Provider Name | Paige Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437871308 PECOS PAC ID: 2466828355 Enrollment ID: I20221018001191 |
| Provider Name | Darlene H Boyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689823098 PECOS PAC ID: 3274694047 Enrollment ID: I20221229000048 |
| Provider Name | Cesar Alejandro Galano Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982313797 PECOS PAC ID: 0446618102 Enrollment ID: I20230628001183 |
| Provider Name | Vidur P Ghantiwala |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043710981 PECOS PAC ID: 5294113064 Enrollment ID: I20230717000146 |
| Provider Name | Richard Stephens |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1760878953 PECOS PAC ID: 7214216829 Enrollment ID: I20230803000441 |
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