| Panira Healthcare Clinic, Inc, | |
|
4975 Tamiami Trl E Naples FL 34113-4131 | |
| (239) 529-5580 | |
| (239) 280-0264 |
| Full Name | Panira Healthcare Clinic, Inc, |
|---|---|
| Speciality | Clinic/Center |
| Location | 4975 Tamiami Trl E, Naples, Florida |
| Authorized Official Name and Position | Lawrence James Egger (CEO/PRESIDENT) |
| Authorized Official Contact | 2395295580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panira Healthcare Clinic, Inc, 4975 Tamiami Trl E Naples FL 34113-4131 Ph: (239) 529-5580 | Panira Healthcare Clinic, Inc, 4975 Tamiami Trl E Naples FL 34113-4131 Ph: (239) 529-5580 |
| NPI Number | 1619341369 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 10/25/2022 |
| Medicare PECOS PAC ID | 5193019099 |
|---|---|
| Medicare Enrollment ID | O20160815002128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619341369 | NPI | - | NPPES |
| 021195500 | Medicaid | FL |
| Provider Name | Viswanathan Chokkavelu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841394335 PECOS PAC ID: 4082634027 Enrollment ID: I20150924002136 |
| Provider Name | Suzanna P Boka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457436677 PECOS PAC ID: 9931283132 Enrollment ID: I20170706002648 |
| Provider Name | Don L Bradke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922016799 PECOS PAC ID: 7416923438 Enrollment ID: I20170927003358 |
| Provider Name | Arnold David Panzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366486995 PECOS PAC ID: 0648457028 Enrollment ID: I20171109000877 |
| Provider Name | Jean Yves Dastain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417213299 PECOS PAC ID: 0143479576 Enrollment ID: I20200407001882 |
| Provider Name | Raman K Dhillon-gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255397139 PECOS PAC ID: 7810185824 Enrollment ID: I20201211001461 |
| Provider Name | Ludmilla Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629676598 PECOS PAC ID: 7810300175 Enrollment ID: I20210105001281 |
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