| Cassidy Donnarumma, | |
| 
					1221 Jacaranda Blvd, Venice, FL 34292-4520  | |
| (407) 776-6924 | |
| Not Available | 
| Full Name | Cassidy Donnarumma | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1221 Jacaranda Blvd, Venice, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073342275 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 9489664 (Florida) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 11035943 (Florida) | Primary | 
| Entity Name | Port Charlotte Hma Physician Management Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003985573 PECOS PAC ID: 8729187901 Enrollment ID: O20070629000043  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cassidy Donnarumma, 1221 Jacaranda Blvd, Venice, FL 34292-4520 Ph: () -  | Cassidy Donnarumma, 1221 Jacaranda Blvd, Venice, FL 34292-4520 Ph: (407) 776-6924  | 
Felicia Carnevale, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 517 Riviera St Ste D, Venice, FL 34285 Phone: 941-244-9524 Fax: 941-244-9526  | |
Kristy L Petersen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 The Rialto, Venice, FL 34285 Phone: 941-486-6927 Fax: 941-486-6931  | |
Judy Humphreys, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1287 Us Highway 41byp S, Venice, FL 34237 Phone: 941-244-5706 Fax: 941-800-4342  | |
Ms. Kathryn S Collins, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Jacaranda Blvd, Venice, FL 34292 Phone: 844-366-9362  | |
Agata Wawro, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 Riviera St Ste D, Venice, FL 34285 Phone: 941-244-9524  | |
Cynthia Beth Gamble, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Nokomis Ave S Ste 207, Venice, FL 34285 Phone: 941-486-6790 Fax: 941-486-6795  | |
Amber Rowan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Venetia Bay Blvd Ste 200, Venice, FL 34285 Phone: 941-837-2922 Fax: 941-445-5045  |