| Gulfcoast Md Pa | |
|
13440 Parker Commons Blvd Ste 105 Fort Myers FL 33912-1816 | |
| (239) 225-6304 | |
| Not Available |
| Full Name | Gulfcoast Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 13440 Parker Commons Blvd Ste 105, Fort Myers, Florida |
| Authorized Official Name and Position | Melwyn Salvadore Dsouza (CEO) |
| Authorized Official Contact | 2392655586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulfcoast Md Pa 13440 Parker Commons Blvd Ste 105 Fort Myers FL 33912-1816 Ph: (239) 225-6304 | Gulfcoast Md Pa 13440 Parker Commons Blvd Ste 105 Fort Myers FL 33912-1816 Ph: (239) 225-6304 |
| NPI Number | 1528233962 |
|---|---|
| Provider Enumeration Date | 04/27/2008 |
| Last Update Date | 04/21/2020 |
| Medicare PECOS PAC ID | 8527132661 |
|---|---|
| Medicare Enrollment ID | O20080807000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528233962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME89047 (Florida) | Primary |
| Provider Name | Raynita C D Souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467468579 PECOS PAC ID: 3274506225 Enrollment ID: I20040817001105 |
| Provider Name | Melwyn Dsouza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972519924 PECOS PAC ID: 4385617109 Enrollment ID: I20040818001049 |
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 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
Lee Memorial Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lee Memorial Health System Primary Care Clinic Medicare: Not Enrolled in Medicare 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 |