| Gulfcoast Medical Housecalls, Llc | |
|
24430 Sandhill Blvd Att Npp Unit 303 Punta Gorda FL 33983-5216 | |
| (941) 244-4414 | |
| (941) 244-4415 |
| Full Name | Gulfcoast Medical Housecalls, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24430 Sandhill Blvd, Punta Gorda, Florida |
| Authorized Official Name and Position | Stanley Mark Dratler (OWNER) |
| Authorized Official Contact | 2397316677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulfcoast Medical Housecalls, Llc 24430 Sandhill Blvd Att Npp Unit 303 Punta Gorda FL 33983-5216 Ph: (941) 244-4414 | Gulfcoast Medical Housecalls, Llc 24430 Sandhill Blvd Att Npp Unit 303 Punta Gorda FL 33983-5216 Ph: (941) 244-4414 |
| NPI Number | 1033590633 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 07/09/2015 |
| Medicare PECOS PAC ID | 9931413861 |
|---|---|
| Medicare Enrollment ID | O20150805007545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033590633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME37001 (Florida) | Primary |
| Provider Name | Stanley M Dratler |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104847672 PECOS PAC ID: 5496756868 Enrollment ID: I20070127000010 |
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