| Archwell Health Medical Of Florida, Llc | |
|
543 Tamiami Trl S Venice FL 34285-2927 | |
| (941) 837-8002 | |
| (615) 682-6207 |
| Full Name | Archwell Health Medical Of Florida, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 543 Tamiami Trl S, Venice, Florida |
| Authorized Official Name and Position | Lisa Lucas (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 6154199047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archwell Health Medical Of Florida, Llc 102 Woodmont Blvd Ste 600 Nashville TN 37205-5250 Ph: (888) 987-1151 | Archwell Health Medical Of Florida, Llc 543 Tamiami Trl S Venice FL 34285-2927 Ph: (941) 837-8002 |
| NPI Number | 1497453450 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 06/19/2023 |
| Medicare PECOS PAC ID | 5597127456 |
|---|---|
| Medicare Enrollment ID | O20230809004201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497453450 | NPI | - | NPPES |
| Provider Name | James M Porcelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770511412 PECOS PAC ID: 4789670928 Enrollment ID: I20040423000770 |
| Provider Name | Monica Joset Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467432351 PECOS PAC ID: 8022090968 Enrollment ID: I20040603001018 |
| Provider Name | Audrey P Baria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730100082 PECOS PAC ID: 6204726128 Enrollment ID: I20050906000816 |
| Provider Name | Ira B Azneer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750389045 PECOS PAC ID: 4486756038 Enrollment ID: I20070228000214 |
| Provider Name | Patricia A Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730287152 PECOS PAC ID: 3678676814 Enrollment ID: I20070308000587 |
| Provider Name | Anne-marie C John Rose-brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013024850 PECOS PAC ID: 0547257081 Enrollment ID: I20070405000036 |
| Provider Name | Roger L Harcourt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831300532 PECOS PAC ID: 3375629074 Enrollment ID: I20080320000396 |
| Provider Name | Sabrina Joann Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396912341 PECOS PAC ID: 6305918723 Enrollment ID: I20080630000566 |
| Provider Name | Anantkumar M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356378905 PECOS PAC ID: 0345302139 Enrollment ID: I20090105000306 |
| Provider Name | Michael Fialho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548227226 PECOS PAC ID: 7911035779 Enrollment ID: I20100514000659 |
| Provider Name | Ruth A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760580229 PECOS PAC ID: 7719915107 Enrollment ID: I20100723000723 |
| Provider Name | Brandy Michelle Roose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417114737 PECOS PAC ID: 6406029917 Enrollment ID: I20111028000300 |
| Provider Name | Donald Joseph Goddard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134229412 PECOS PAC ID: 4486648664 Enrollment ID: I20120104000581 |
| Provider Name | Stacy Lee Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023251352 PECOS PAC ID: 6103976253 Enrollment ID: I20140609002110 |
| Provider Name | Pamela Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932567021 PECOS PAC ID: 3072819689 Enrollment ID: I20160308002027 |
| Provider Name | Ivonn Marcela Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215393970 PECOS PAC ID: 9739487661 Enrollment ID: I20160411000407 |
| Provider Name | Thomas Salvucci |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093783532 PECOS PAC ID: 1456342252 Enrollment ID: I20180514001985 |
| Provider Name | Olga Belder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225072515 PECOS PAC ID: 5991761215 Enrollment ID: I20180806001890 |
| Provider Name | Sarah E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316186166 PECOS PAC ID: 9133267354 Enrollment ID: I20190607000939 |
| Provider Name | Ayca Kabasakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588697486 PECOS PAC ID: 4385690189 Enrollment ID: I20190812002333 |
| Provider Name | Dennis Joseph Charette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396731170 PECOS PAC ID: 2163315151 Enrollment ID: I20200109001338 |
| Provider Name | Yelenis Fuertes Yanes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174059406 PECOS PAC ID: 6002151164 Enrollment ID: I20200709002192 |
| Provider Name | Cindy Marie Lorenzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518597186 PECOS PAC ID: 4183051279 Enrollment ID: I20210122002420 |
| Provider Name | John Schloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124026992 PECOS PAC ID: 2567467855 Enrollment ID: I20210616002714 |
| Provider Name | Daniele Kathaleen Dumas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285201038 PECOS PAC ID: 7416358031 Enrollment ID: I20210702000055 |
| Provider Name | Elizabeth J Goman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114952744 PECOS PAC ID: 5092608182 Enrollment ID: I20210921002020 |
| Provider Name | Milena Munoz Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003313214 PECOS PAC ID: 5698010676 Enrollment ID: I20210922002959 |
| Provider Name | Immanuel Amissah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114066115 PECOS PAC ID: 6002960317 Enrollment ID: I20211021003177 |
| Provider Name | Jeannell Sinee Mclaurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841867215 PECOS PAC ID: 1951790666 Enrollment ID: I20211118002596 |
| Provider Name | Jarius Anderson-baylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801274766 PECOS PAC ID: 4880985134 Enrollment ID: I20211217001737 |
| Provider Name | Anna Ibragimova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881090470 PECOS PAC ID: 0941523674 Enrollment ID: I20220720002907 |
| Provider Name | Gary Alan Frumkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376587626 PECOS PAC ID: 5193765204 Enrollment ID: I20221006000919 |
| Provider Name | Corey C Fussell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497103824 PECOS PAC ID: 5294063483 Enrollment ID: I20231129001449 |
| Provider Name | James York |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578827101 PECOS PAC ID: 0446479430 Enrollment ID: I20231208003409 |
| Provider Name | Diane Zgaljic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881725794 PECOS PAC ID: 3678502127 Enrollment ID: I20231209000327 |
| Provider Name | Kamal Hitendra Makati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417586975 PECOS PAC ID: 8729430764 Enrollment ID: I20240116001630 |
| Provider Name | Mary E Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326329566 PECOS PAC ID: 4587835384 Enrollment ID: I20240118001415 |
| Provider Name | Stuart Alan Kauffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124137088 PECOS PAC ID: 9032168091 Enrollment ID: I20240726002358 |
| Provider Name | Kenneth Giacobbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689618639 PECOS PAC ID: 6901813963 Enrollment ID: I20240729003660 |
| Provider Name | Karina Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699408492 PECOS PAC ID: 4183096399 Enrollment ID: I20240823001378 |
| Provider Name | Mehdi Shamloo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356638811 PECOS PAC ID: 5991934564 Enrollment ID: I20250218001811 |
| Provider Name | Erika A Mulligan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124111273 PECOS PAC ID: 4981748738 Enrollment ID: I20250303000300 |
| Provider Name | Judith Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164495206 PECOS PAC ID: 7416029491 Enrollment ID: I20250404001658 |
| Provider Name | Naga Pannala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366673352 PECOS PAC ID: 2365743556 Enrollment ID: I20250404001700 |
The Venice Walk In Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Tamiami Trl S, Suite 102, Venice, FL 34285 Phone: 941-485-4858 Fax: 941-485-5261 | |
Centerplace Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2350 Scenic Dr, Venice, FL 34293 Phone: 941-529-0200 Fax: 855-674-1836 | |
Smh Physician Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 842 Sunset Lake Blvd, Suite 401, Venice, FL 34292 Phone: 941-497-8220 Fax: 941-497-8239 | |
Gulf Coast Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 E Venice Ave, Venice, FL 34292 Phone: 941-483-9761 | |
Dr. Ralph H. Rusco Jr. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Us Highway 41 Byp S, Venice, FL 34285 Phone: 941-488-8862 Fax: 941-485-4066 | |
Guidewell Sanitas I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 E Venice Ave Ste 106-110, Venice, FL 34292 Phone: 844-665-4827 | |
Jan Kubicki Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19404 Solarzano St, Venice, FL 34293 Phone: 585-734-2260 |