| Gcmg-venice | |
|
8421 Pointe Loop Dr Venice FL 34293-2232 | |
| (941) 244-9536 | |
| (941) 244-9539 |
| Full Name | Gcmg-venice |
|---|---|
| Speciality | Family Medicine |
| Location | 8421 Pointe Loop Dr, Venice, Florida |
| Authorized Official Name and Position | Jennifer Jackson (SENIOR DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gcmg-venice 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | Gcmg-venice 8421 Pointe Loop Dr Venice FL 34293-2232 Ph: (941) 244-9536 |
| NPI Number | 1306143649 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 03/14/2022 |
| Certification Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306143649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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