| Mr Alexander Patino, APRN | |
| 
					2343 Aaron St, Port Charlotte, FL 33952-5305  | |
| (941) 629-2900 | |
| (855) 808-2036 | 
| Full Name | Mr Alexander Patino | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Gerontology | 
| Location | 2343 Aaron St, 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 | 
|---|---|---|---|
| 1396303392 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | RN9289407 (Florida) | Secondary | 
| 363LG0600X | Nurse Practitioner - Gerontology | APRN11019871 (Florida) | Primary | 
| Entity Name | Millennium Physician Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Alexander Patino, APRN 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774  | Mr Alexander Patino, APRN 2343 Aaron St, Port Charlotte, FL 33952-5305 Ph: (941) 629-2900  | 
Maria Lourdes Laquian, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700  | |
Maureen Ann Wertz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2315 Aaron St, Port Charlotte, FL 33952 Phone: 855-674-7700 Fax: 941-764-8455  | |
Bobbi Hawver, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18480 Cochran Blvd, Port Charlotte, FL 33948 Phone: 941-743-4700  | |
Roxana Maria Rodriguez Rey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 877-856-3774  | |
Carla K Garcia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181  | |
Rita Felicia De Palma, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-624-2704 Fax: 941-627-6066  | |
Ms. Carin Melanie Calabrese, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22099 Elmira Blvd, Port Charlotte, FL 33952 Phone: 941-613-1356  |