| Peace River Tropical Medicine Inc | |
|
733 E Olympia Ave Punta Gorda FL 33950-3841 | |
| (941) 380-6022 | |
| Not Available |
| Full Name | Peace River Tropical Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 733 E Olympia Ave, Punta Gorda, Florida |
| Authorized Official Name and Position | Emil Anton Dameff (PRESIDENT) |
| Authorized Official Contact | 9413806022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace River Tropical Medicine Inc Po Box 510297 Punta Gorda FL 33951-0297 Ph: () - | Peace River Tropical Medicine Inc 733 E Olympia Ave Punta Gorda FL 33950-3841 Ph: (941) 380-6022 |
| NPI Number | 1720126238 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 10/28/2013 |
| Medicare PECOS PAC ID | 4587717830 |
|---|---|
| Medicare Enrollment ID | O20090804000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720126238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Emil A Dameff |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811035314 PECOS PAC ID: 8426101775 Enrollment ID: I20090804000184 |
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