| Gcmg-tuscany, 2nd Floor | |
|
1720 E Venice Ave 2nd Floor Venice FL 34292-3190 | |
| (941) 483-9730 | |
| (941) 483-9745 |
| Full Name | Gcmg-tuscany, 2nd Floor |
|---|---|
| Speciality | Family Medicine |
| Location | 1720 E Venice Ave, Venice, Florida |
| Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gcmg-tuscany, 2nd Floor 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | Gcmg-tuscany, 2nd Floor 1720 E Venice Ave 2nd Floor Venice FL 34292-3190 Ph: (941) 483-9730 |
| NPI Number | 1780982124 |
|---|---|
| Provider Enumeration Date | 03/09/2011 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780982124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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