| Shaleeka Cornelius, MD | |
|
2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | |
| (941) 766-4122 | |
| Not Available |
| Full Name | Shaleeka Cornelius |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 2500 Harbor Blvd, Port Charlotte, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528687837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME168860 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Inphynet Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
| Entity Name | Ies Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124788716 PECOS PAC ID: 8921485004 Enrollment ID: O20220510002828 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaleeka Cornelius, MD 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 Ph: (340) 642-0325 | Shaleeka Cornelius, MD 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 Ph: (941) 766-4122 |
Dr. Robert Leyrer, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 305-665-4614 | |
Marc J Farraye, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4125 | |
Kevin J Desantis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1912 Kings Hwy Unit 700, Port Charlotte, FL 33980 Phone: 941-255-0032 Fax: 941-391-5213 | |
Dr. John Atiyeh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4125 Fax: 941-766-4101 | |
Raymond Allen James, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-627-6130 Fax: 941-627-6146 | |
Dr. Matthew Wiesinger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4122 | |
Daniel O'leary, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 305-665-4614 |