| Chris R Gelvin M D P a | |
|
1217 S East Ave Suite 301 Sarasota FL 34239-2344 | |
| (941) 366-4440 | |
| (833) 638-0060 |
| Full Name | Chris R Gelvin M D P a |
|---|---|
| Speciality | Internal Medicine |
| Location | 1217 S East Ave, Sarasota, Florida |
| Authorized Official Name and Position | Chris R Gelvin (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9413664440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris R Gelvin M D P a 1217 S East Ave Suite 301 Sarasota FL 34239-2344 Ph: (941) 366-4440 | Chris R Gelvin M D P a 1217 S East Ave Suite 301 Sarasota FL 34239-2344 Ph: (941) 366-4440 |
| NPI Number | 1437378239 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Medicare PECOS PAC ID | 6800988601 |
|---|---|
| Medicare Enrollment ID | O20070824000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437378239 | NPI | - | NPPES |
| DG2481 | Other | FL | RR MEDICARE |
| 001145700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Joseph Ingallinera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609822196 PECOS PAC ID: 7315943636 Enrollment ID: I20061010000507 |
| Provider Name | Chris R Gelvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447244678 PECOS PAC ID: 7618964636 Enrollment ID: I20070808000332 |
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