| Gulfmed Centers Inc | |
|
1869 S Tamiami Tr Venice FL 34293 | |
| (941) 497-0377 | |
| (941) 497-0278 |
| Full Name | Gulfmed Centers Inc |
|---|---|
| Speciality | General Practice |
| Location | 1869 S Tamiami Tr, Venice, Florida |
| Authorized Official Name and Position | Iraj Golzari (MD) |
| Authorized Official Contact | 9414970377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulfmed Centers Inc 1869 S Tamiami Tr Venice FL 34293 Ph: (941) 497-0377 | Gulfmed Centers Inc 1869 S Tamiami Tr Venice FL 34293 Ph: (941) 497-0377 |
| NPI Number | 1669563045 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 06/28/2010 |
| Medicare PECOS PAC ID | 0547443368 |
|---|---|
| Medicare Enrollment ID | O20110331000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669563045 | NPI | - | NPPES |
| 2065681 | Other | FL | AETNA |
| 0100-6372 | Other | FL | RR MEDICARE |
| CN4296 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME0046011 (Florida) | Primary |
| Provider Name | Iraj Golzari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689754426 PECOS PAC ID: 6709069529 Enrollment ID: I20110331000421 |
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