| Island Doctor | |
|
950 N Collier Blvd Suite 308 Marco Island FL 34145-2725 | |
| (239) 642-5552 | |
| (239) 642-5565 |
| Full Name | Island Doctor |
|---|---|
| Speciality | Family Medicine |
| Location | 950 N Collier Blvd, Marco Island, Florida |
| Authorized Official Name and Position | Ciro Kirk Demartino (OWNER) |
| Authorized Official Contact | 2396425552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Doctor 950 N Collier Blvd Suite 308 Marco Island FL 34145-2725 Ph: (239) 642-5552 | Island Doctor 950 N Collier Blvd Suite 308 Marco Island FL 34145-2725 Ph: (239) 642-5552 |
| NPI Number | 1033455910 |
|---|---|
| Provider Enumeration Date | 12/20/2012 |
| Last Update Date | 01/07/2013 |
| Medicare PECOS PAC ID | 6608029046 |
|---|---|
| Medicare Enrollment ID | O20130114000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033455910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME85819 (Florida) | Primary |
| Provider Name | Ciro K Demartino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780687467 PECOS PAC ID: 6709785116 Enrollment ID: I20040105000844 |
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