| 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 | Javier R Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134114978 PECOS PAC ID: 8224001045 Enrollment ID: I20040818001034 |
| Provider Name | Karen Leggett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093883357 PECOS PAC ID: 6608843073 Enrollment ID: I20040918000009 |
| Provider Name | Suzanne M Victorine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538318035 PECOS PAC ID: 9638237761 Enrollment ID: I20081018000186 |
| Provider Name | Anantkumar M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356378905 PECOS PAC ID: 0345302139 Enrollment ID: I20090105000306 |
| Provider Name | Elizabeth Liu Sirban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962782383 PECOS PAC ID: 1658524566 Enrollment ID: I20121228000377 |
| Provider Name | Leah M Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285978163 PECOS PAC ID: 6406009844 Enrollment ID: I20130114000429 |
| Provider Name | Camille A Mcdonald-toussaint |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023081643 PECOS PAC ID: 9638168115 Enrollment ID: I20130715000380 |
| Provider Name | Darren T Thornton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972828663 PECOS PAC ID: 4880828847 Enrollment ID: I20131004000259 |
| Provider Name | Stacy Lee Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023251352 PECOS PAC ID: 6103976253 Enrollment ID: I20140609002110 |
| Provider Name | Merna Michelle Vera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518932185 PECOS PAC ID: 4688670425 Enrollment ID: I20180123001799 |
| Provider Name | Dennis Joseph Charette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396731170 PECOS PAC ID: 2163315151 Enrollment ID: I20200109001338 |
| Provider Name | Gayzel Velasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134512346 PECOS PAC ID: 9931520111 Enrollment ID: I20200526000295 |
| Provider Name | John Schloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124026992 PECOS PAC ID: 2567467855 Enrollment ID: I20210616002714 |
| Provider Name | James D Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790210797 PECOS PAC ID: 6002211349 Enrollment ID: I20210824003052 |
| Provider Name | Elizabeth J Goman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114952744 PECOS PAC ID: 5092608182 Enrollment ID: I20210921002020 |
| Provider Name | Cinthya Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457922155 PECOS PAC ID: 6507258233 Enrollment ID: I20220110000820 |
| Provider Name | Pooja Jayaprakash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255891248 PECOS PAC ID: 1254660541 Enrollment ID: I20220714004254 |
| 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 |
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 | |
First Physician Group 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 | |
Weight Management Center 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 |