| Tanweer Memon Md Pa | |
|
2091 Tamiami Trl Port Charlotte FL 33948-2112 | |
| (941) 625-9494 | |
| (941) 743-8562 |
| Full Name | Tanweer Memon Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2091 Tamiami Trl, Port Charlotte, Florida |
| Authorized Official Name and Position | Tanweer Memon (PHYSICIAN) |
| Authorized Official Contact | 9416259494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanweer Memon Md Pa 2091 Tamiami Trl Port Charlotte FL 33948-2112 Ph: (941) 625-9494 | Tanweer Memon Md Pa 2091 Tamiami Trl Port Charlotte FL 33948-2112 Ph: (941) 625-9494 |
| NPI Number | 1841216421 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 10/23/2012 |
| Medicare PECOS PAC ID | 6608870894 |
|---|---|
| Medicare Enrollment ID | O20060830000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841216421 | NPI | - | NPPES |
| 42648 | Other | FL | BCBS |
| 258993100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0074367 (Florida) | Primary |
| Provider Name | Tanweer A Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053304774 PECOS PAC ID: 8224096359 Enrollment ID: I20041221000737 |
| Provider Name | Svitlana O Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588154967 PECOS PAC ID: 2163763186 Enrollment ID: I20190401000733 |
Express Care Medical Cinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3161 Harbor Blvd, Suite A, Port Charlotte, FL 33952 Phone: 941-629-1218 Fax: 941-625-9465 | |
Carlton R. Vollberg M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2852 Tamiami Trl Ste 6, Port Charlotte, FL 33952 Phone: 941-743-4445 Fax: 941-743-4287 | |
B Adhinarayanan Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Harbor Blvd, Suite 16, Port Charlotte, FL 33952 Phone: 941-613-1223 Fax: 941-613-1224 | |
Coastal Cardiololgy & Vascular Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Tamiami Trl, Suite 300, Port Charlotte, FL 33948 Phone: 941-625-6187 Fax: 941-625-7887 | |
Pamela Papola Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Tamiami Trl, 1, Port Charlotte, FL 33952 Phone: 941-255-3722 Fax: 941-255-3723 | |
Infectious Diseases Consultants, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21205 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 941-613-2800 Fax: 941-613-2801 | |
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