| Story Family Medicine | |
|
17912 Toledo Blade Blvd Ste A Port Charlotte FL 33948-1042 | |
| (941) 766-1001 | |
| (941) 766-1830 |
| Full Name | Story Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 17912 Toledo Blade Blvd, Port Charlotte, Florida |
| Authorized Official Name and Position | Curtis E Story (OWNER) |
| Authorized Official Contact | 9417661900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Story Family Medicine 9048 Falcon Ct Venice FL 34293-7631 Ph: (941) 766-1900 | Story Family Medicine 17912 Toledo Blade Blvd Ste A Port Charlotte FL 33948-1042 Ph: (941) 766-1001 |
| NPI Number | 1821358607 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 05/25/2012 |
| Medicare PECOS PAC ID | 1456517374 |
|---|---|
| Medicare Enrollment ID | O20120723000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821358607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME106893 (Florida) | Primary |
| Provider Name | Curtis E Story |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912125451 PECOS PAC ID: 5890837587 Enrollment ID: I20100830000748 |
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