Vg Primary Care Pllc | |
5285 Summerlin Rd Ste 101 Fort Myers FL 33919-7601 | |
(978) 495-0389 | |
Not Available |
Full Name | Vg Primary Care Pllc |
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Speciality | Internal Medicine |
Location | 5285 Summerlin Rd Ste 101, Fort Myers, Florida |
Authorized Official Name and Position | Vikti Gosalia (OWNER) |
Authorized Official Contact | 9784950389 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vg Primary Care Pllc 5285 Summerlin Rd Ste 101 Fort Myers FL 33919-7601 Ph: (239) 789-2201 | Vg Primary Care Pllc 5285 Summerlin Rd Ste 101 Fort Myers FL 33919-7601 Ph: (978) 495-0389 |
NPI Number | 1003406851 |
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Provider Enumeration Date | 01/25/2021 |
Last Update Date | 10/21/2021 |
Medicare PECOS PAC ID | 9436564564 |
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Medicare Enrollment ID | O20210223000162 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003406851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Vikti A Gosalia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952537680 PECOS PAC ID: 2567518962 Enrollment ID: I20101213000282 |
Provider Name | Colleen A Gross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164807582 PECOS PAC ID: 2769791862 Enrollment ID: I20151012000568 |
Provider Name | Sharon Franco |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1316420839 PECOS PAC ID: 1355687559 Enrollment ID: I20190109000865 |
Provider Name | Maylin Paez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093378622 PECOS PAC ID: 4981011772 Enrollment ID: I20210323000831 |
Provider Name | Vicente Perez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023713971 PECOS PAC ID: 6204299688 Enrollment ID: I20240320000218 |
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