| Suncoast Integrated Medical Center Llc | |
|
3840 Colonial Blvd Ste 1 Fort Myers FL 33966-1126 | |
| (855) 778-6262 | |
| (855) 778-3262 |
| Full Name | Suncoast Integrated Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3840 Colonial Blvd Ste 1, Fort Myers, Florida |
| Authorized Official Name and Position | Scott Winfield Wadman (COO) |
| Authorized Official Contact | 8557786262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Integrated Medical Center Llc 3840 Colonial Blvd Ste 1 Fort Myers FL 33966-1126 Ph: (855) 778-6262 | Suncoast Integrated Medical Center Llc 3840 Colonial Blvd Ste 1 Fort Myers FL 33966-1126 Ph: (855) 778-6262 |
| NPI Number | 1124636196 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 07/05/2023 |
| Medicare PECOS PAC ID | 0941614697 |
|---|---|
| Medicare Enrollment ID | O20210121000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124636196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cornell V Calinescu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457339004 PECOS PAC ID: 6406768878 Enrollment ID: I20031104000278 |
| Provider Name | Rajendran Naidoo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942210372 PECOS PAC ID: 1951481969 Enrollment ID: I20080103000423 |
| Provider Name | Melissa Fleszar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326361619 PECOS PAC ID: 4082886130 Enrollment ID: I20111013000384 |
| Provider Name | Tara Narayan Amarnani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336718253 PECOS PAC ID: 9537561402 Enrollment ID: I20210714003509 |
| Provider Name | Nathan Philip Mcintosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053540617 PECOS PAC ID: 4385819176 Enrollment ID: I20221116000048 |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
Lch- Peds Page Field Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lch-internal Medicine Matthew Drive Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |