| Florida Id Care Llc | |
|
3540 Stuart Ct Fort Myers FL 33901-7737 | |
| (609) 350-4757 | |
| (239) 244-9481 |
| Full Name | Florida Id Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3540 Stuart Ct, Fort Myers, Florida |
| Authorized Official Name and Position | Sivakumar Raman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2392458223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Id Care Llc 14192 Metropolis Ave Fort Myers FL 33912-4331 Ph: (239) 245-8223 | Florida Id Care Llc 3540 Stuart Ct Fort Myers FL 33901-7737 Ph: (609) 350-4757 |
| NPI Number | 1245596964 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 04/13/2016 |
| Medicare PECOS PAC ID | 4587817416 |
|---|---|
| Medicare Enrollment ID | O20121231000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245596964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME100391 (Florida) | Primary |
| Provider Name | Silvia M Velasquez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689782377 PECOS PAC ID: 7113940248 Enrollment ID: I20071215000104 |
| Provider Name | Sivakumar Raman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245239011 PECOS PAC ID: 1254309628 Enrollment ID: I20090422000606 |
| Provider Name | Rajasingam Jayasingam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447409636 PECOS PAC ID: 1759439144 Enrollment ID: I20090526000160 |
| Provider Name | Anita B Shinde |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477864379 PECOS PAC ID: 5193918563 Enrollment ID: I20101018000808 |
| Provider Name | Viswanathan Nagarajan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043285141 PECOS PAC ID: 6507034253 Enrollment ID: I20110722000606 |
| Provider Name | Jessica Bartalino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427306687 PECOS PAC ID: 5193975811 Enrollment ID: I20121015000483 |
| Provider Name | Christine D Ayarza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285800532 PECOS PAC ID: 4880832187 Enrollment ID: I20130528000571 |
| Provider Name | Noris R Figueroa-reyes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568770329 PECOS PAC ID: 0840593018 Enrollment ID: I20160121001396 |
| Provider Name | Amaury Diaz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528221033 PECOS PAC ID: 8224209812 Enrollment ID: I20171004003442 |
| Provider Name | Suresh Nellore |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144297862 PECOS PAC ID: 2961431226 Enrollment ID: I20171005002579 |
| Provider Name | Marcanthony H Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427475722 PECOS PAC ID: 8921325044 Enrollment ID: I20190307000153 |
| Provider Name | Jackelin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083175871 PECOS PAC ID: 4789019399 Enrollment ID: I20200108001579 |
| Provider Name | Taryn L Bolling |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619400439 PECOS PAC ID: 9739508482 Enrollment ID: I20230503000170 |
| Provider Name | Edward S Johnson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184699290 PECOS PAC ID: 0143216945 Enrollment ID: I20240215003932 |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
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Lch- Peds Page Field Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lch-internal Medicine Matthew Drive Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |