| Physician Healthcare Professionals Of Florida Inc | |
|
1107 W Marion Ave Suite 116 Punta Gorda FL 33950-5372 | |
| (941) 637-1076 | |
| (941) 637-7226 |
| Full Name | Physician Healthcare Professionals Of Florida Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1107 W Marion Ave, Punta Gorda, Florida |
| Authorized Official Name and Position | Demetrios Gonis (PHYSICIAN) |
| Authorized Official Contact | 9416371076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Healthcare Professionals Of Florida Inc 1107 W Marion Ave Suite 116 Punta Gorda FL 33950-5372 Ph: (941) 637-1076 | Physician Healthcare Professionals Of Florida Inc 1107 W Marion Ave Suite 116 Punta Gorda FL 33950-5372 Ph: (941) 637-1076 |
| NPI Number | 1013907187 |
|---|---|
| Provider Enumeration Date | 10/28/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013907187 | NPI | - | NPPES |
| K4735 | Other | FL | MEDICARE GROUP |
| 07411 | Other | FL | BCBS |
| P00097605 | Other | FL | RAILROAD MEDICARE |
| 98380 | Other | FL | BCBS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Florida) | Primary |
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