| Southwest Florida Emergency Management Llc | |
|
350 7th St N Naples FL 34102-5730 | |
| (941) 436-5000 | |
| Not Available |
| Full Name | Southwest Florida Emergency Management Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 350 7th St N, Naples, Florida |
| Authorized Official Name and Position | Michael Corvini (PRESIDENT) |
| Authorized Official Contact | 8004243672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Florida Emergency Management Llc 5870 Hiatus Rd Tamarac FL 33321-6424 Ph: (800) 424-3672 | Southwest Florida Emergency Management Llc 350 7th St N Naples FL 34102-5730 Ph: (941) 436-5000 |
| NPI Number | 1780911206 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 09/10/2020 |
| Medicare PECOS PAC ID | 0648314393 |
|---|---|
| Medicare Enrollment ID | O20100218000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780911206 | NPI | - | NPPES |
| Provider Name | Petrija Jen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124125471 PECOS PAC ID: 4082515812 Enrollment ID: I20040115000706 |
| Provider Name | Francis A Amador |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184619934 PECOS PAC ID: 1456249382 Enrollment ID: I20040310000835 |
| Provider Name | Keith Hassan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619945185 PECOS PAC ID: 5193718872 Enrollment ID: I20040407000919 |
| Provider Name | Pia Myers-wolfe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538130687 PECOS PAC ID: 5991793119 Enrollment ID: I20040505000463 |
| Provider Name | Derrick Clunis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407832579 PECOS PAC ID: 8527058015 Enrollment ID: I20040517000344 |
| Provider Name | Hinda M Greene |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750493177 PECOS PAC ID: 6709789209 Enrollment ID: I20040611000433 |
| Provider Name | Nancy A Gulotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275502908 PECOS PAC ID: 0345210803 Enrollment ID: I20040730000584 |
| Provider Name | Ihsan A Alsalman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821087073 PECOS PAC ID: 2567434285 Enrollment ID: I20040811001363 |
| Provider Name | David Jonathan Treloar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639108111 PECOS PAC ID: 3779545058 Enrollment ID: I20041029000031 |
| Provider Name | Tamra Ocasio Camina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821109216 PECOS PAC ID: 5890751994 Enrollment ID: I20041209000298 |
| Provider Name | John Patrick Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548357437 PECOS PAC ID: 7911950993 Enrollment ID: I20050308000549 |
| Provider Name | Jose Alberto Arosemena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902831522 PECOS PAC ID: 6406800978 Enrollment ID: I20050308000578 |
| Provider Name | Jack Derovanesian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073567186 PECOS PAC ID: 0941254452 Enrollment ID: I20050308000821 |
| Provider Name | Carolyn Marie Walters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497764930 PECOS PAC ID: 1355395872 Enrollment ID: I20050308000942 |
| Provider Name | Cyril A Morello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962462614 PECOS PAC ID: 8325086374 Enrollment ID: I20050420000491 |
| Provider Name | Sheryle D Wellen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548224918 PECOS PAC ID: 1456391424 Enrollment ID: I20050510000029 |
| Provider Name | Nancy Elizabeth Iott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497853048 PECOS PAC ID: 8123068061 Enrollment ID: I20050510000562 |
| Provider Name | Christopher Ryan Bartruff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093737496 PECOS PAC ID: 8123063179 Enrollment ID: I20050621000884 |
| Provider Name | Todd Bethel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942392709 PECOS PAC ID: 0648228122 Enrollment ID: I20050913000111 |
| Provider Name | Christopher Maritato |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538186317 PECOS PAC ID: 7517991599 Enrollment ID: I20050920000231 |
| Provider Name | Joel Friedman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912974981 PECOS PAC ID: 7012933476 Enrollment ID: I20051015000054 |
| Provider Name | Warren L Hutcheson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235175183 PECOS PAC ID: 1355360587 Enrollment ID: I20051117000195 |
| Provider Name | Peter G Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457379646 PECOS PAC ID: 6305860222 Enrollment ID: I20060118000916 |
| Provider Name | Edward Lucas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659301109 PECOS PAC ID: 2062415060 Enrollment ID: I20060811000443 |
| Provider Name | Kimberly B Lord-strulovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861434508 PECOS PAC ID: 4880690957 Enrollment ID: I20061012000331 |
| Provider Name | Seth J Marquit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588694798 PECOS PAC ID: 8022015304 Enrollment ID: I20061030000297 |
| Provider Name | Jeffrey A Panozzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033181847 PECOS PAC ID: 4880620830 Enrollment ID: I20070202000361 |
| Provider Name | Yong J Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811033228 PECOS PAC ID: 0547353419 Enrollment ID: I20070908000043 |
| Provider Name | Ashik N Ahmad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104802305 PECOS PAC ID: 2365536604 Enrollment ID: I20070918000495 |
| Provider Name | Maria E Caceres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316925605 PECOS PAC ID: 0840385142 Enrollment ID: I20071002000264 |
| Provider Name | Robert P Beatty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841346194 PECOS PAC ID: 9133216138 Enrollment ID: I20071107000140 |
| Provider Name | Charles J Havel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558358143 PECOS PAC ID: 3577591437 Enrollment ID: I20080516000038 |
| Provider Name | Pamela F Love |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073542544 PECOS PAC ID: 9739195025 Enrollment ID: I20080725000551 |
| Provider Name | Maureen A Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114190048 PECOS PAC ID: 6800960774 Enrollment ID: I20080811000710 |
| Provider Name | Micheyle Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255342283 PECOS PAC ID: 2769558253 Enrollment ID: I20080908000081 |
| Provider Name | Todd M Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811050230 PECOS PAC ID: 5092882845 Enrollment ID: I20080922000262 |
| Provider Name | Barbara Rumberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184641912 PECOS PAC ID: 4688738370 Enrollment ID: I20090123000577 |
| Provider Name | Emre M Conklu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164630810 PECOS PAC ID: 2668524125 Enrollment ID: I20090714000305 |
| Provider Name | Kevin D Encarnacion |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548248115 PECOS PAC ID: 4789692039 Enrollment ID: I20090929000074 |
| Provider Name | Val L Richey-klein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518053651 PECOS PAC ID: 2961537824 Enrollment ID: I20100317000266 |
| Provider Name | Sandrine S Eveque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962728279 PECOS PAC ID: 1355471020 Enrollment ID: I20100608000269 |
| Provider Name | Scott Alan Barron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992790760 PECOS PAC ID: 0042207300 Enrollment ID: I20100714000213 |
| Provider Name | Tricia Swan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558410878 PECOS PAC ID: 5698841724 Enrollment ID: I20100929000456 |
| Provider Name | Dylan M Caldwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053395715 PECOS PAC ID: 1153513528 Enrollment ID: I20101005000238 |
| Provider Name | John W Zelahy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932183696 PECOS PAC ID: 9234311291 Enrollment ID: I20110311000450 |
| Provider Name | Jim O Omatseye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083906028 PECOS PAC ID: 9234307430 Enrollment ID: I20110713000756 |
| Provider Name | Scott Dunavant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639115801 PECOS PAC ID: 6901719202 Enrollment ID: I20110805000719 |
| Provider Name | Nancy Goodwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861679227 PECOS PAC ID: 6103902242 Enrollment ID: I20120104000855 |
| Provider Name | Bobak Rahmanian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124068325 PECOS PAC ID: 5890715643 Enrollment ID: I20120220000687 |
| Provider Name | Julia Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205121878 PECOS PAC ID: 1153591565 Enrollment ID: I20120328000348 |
| Provider Name | Kathryn Grace Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952406936 PECOS PAC ID: 7315043593 Enrollment ID: I20120515000164 |
| Provider Name | Humberto A Liriano-fanduiz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447499793 PECOS PAC ID: 6002071602 Enrollment ID: I20120705000433 |
| Provider Name | Eric Chapman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851533525 PECOS PAC ID: 7012172216 Enrollment ID: I20120712000565 |
| Provider Name | Diane Lynn Mcdonald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740222611 PECOS PAC ID: 4789786955 Enrollment ID: I20130110000224 |
| Provider Name | Jennifer Dawn Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598039984 PECOS PAC ID: 6103071139 Enrollment ID: I20130225000050 |
| Provider Name | Sean Crowley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558682955 PECOS PAC ID: 7214191246 Enrollment ID: I20130725000716 |
| Provider Name | Carolyn E Johnstone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750601035 PECOS PAC ID: 5597909317 Enrollment ID: I20130918000195 |
| Provider Name | Jose David Puell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376519553 PECOS PAC ID: 4082638150 Enrollment ID: I20130918000494 |
| Provider Name | Sameer Draviam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851541130 PECOS PAC ID: 4284878521 Enrollment ID: I20130926000364 |
| Provider Name | Tovah Ellman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942449582 PECOS PAC ID: 0547405938 Enrollment ID: I20131007000383 |
| Provider Name | Rebecca A Miknaitis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225294978 PECOS PAC ID: 9537207121 Enrollment ID: I20140107000096 |
| Provider Name | Hashim Yar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477500197 PECOS PAC ID: 9638068927 Enrollment ID: I20140227001425 |
| Provider Name | Nicole S Patterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811158041 PECOS PAC ID: 6002030814 Enrollment ID: I20140618001318 |
| Provider Name | Shawn C Patterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427219955 PECOS PAC ID: 6709054026 Enrollment ID: I20140623002129 |
| Provider Name | Robert Michael Scileppi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093975955 PECOS PAC ID: 5092965301 Enrollment ID: I20140707000908 |
| Provider Name | Michele C Garlough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366798670 PECOS PAC ID: 8426201005 Enrollment ID: I20141013001816 |
| Provider Name | Tia Celeste Manning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164667929 PECOS PAC ID: 3678742327 Enrollment ID: I20150102000980 |
| Provider Name | Leonel Diaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366738965 PECOS PAC ID: 8729225537 Enrollment ID: I20150908002059 |
| Provider Name | Leah Baker Boyette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992071294 PECOS PAC ID: 7113234642 Enrollment ID: I20150916002036 |
| Provider Name | Ardijan Hasandzekaj |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639495021 PECOS PAC ID: 2062640766 Enrollment ID: I20150925001304 |
| Provider Name | Aldo Gutierrez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093068462 PECOS PAC ID: 5698084606 Enrollment ID: I20151014000599 |
| Provider Name | Christopher Alan Toney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356726848 PECOS PAC ID: 3577863695 Enrollment ID: I20151121000335 |
| Provider Name | Samuel Aaron Stephenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407085798 PECOS PAC ID: 5698910438 Enrollment ID: I20160210001703 |
| Provider Name | Alfredo Andres Vargas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578851614 PECOS PAC ID: 4789988874 Enrollment ID: I20160210001859 |
| Provider Name | Sophia J Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427425297 PECOS PAC ID: 4385940428 Enrollment ID: I20160315002536 |
| Provider Name | Joyce M Blazejewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508844200 PECOS PAC ID: 6608866934 Enrollment ID: I20160328002066 |
| Provider Name | Joseph Thompson Crane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760420236 PECOS PAC ID: 2264339498 Enrollment ID: I20160330000674 |
| Provider Name | Stephen James Lozier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174968473 PECOS PAC ID: 1557661485 Enrollment ID: I20160628001055 |
| Provider Name | Erin Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457715757 PECOS PAC ID: 1850682444 Enrollment ID: I20160629001945 |
| Provider Name | George Vandenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497798565 PECOS PAC ID: 1850342437 Enrollment ID: I20160725000299 |
| Provider Name | Usman T Mian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558758912 PECOS PAC ID: 4486947629 Enrollment ID: I20160726000021 |
| Provider Name | Benjamin Abo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376885509 PECOS PAC ID: 6103110366 Enrollment ID: I20160810001848 |
| Provider Name | Cynthia L. Schroeder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336226455 PECOS PAC ID: 3779475033 Enrollment ID: I20160917000233 |
| Provider Name | Vesta Anilus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386909406 PECOS PAC ID: 3577878578 Enrollment ID: I20160920002030 |
| Provider Name | Elias N Matta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669731394 PECOS PAC ID: 5991940447 Enrollment ID: I20161020000955 |
| Provider Name | Mareril Wheeler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124391149 PECOS PAC ID: 7618110933 Enrollment ID: I20161107002118 |
| Provider Name | Christopher Dallam Mcardle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326091265 PECOS PAC ID: 3870505159 Enrollment ID: I20161214000192 |
| Provider Name | Matthew Naren Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013995562 PECOS PAC ID: 7416905096 Enrollment ID: I20170127002408 |
| Provider Name | Timur Kouliev |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669664892 PECOS PAC ID: 8921192808 Enrollment ID: I20170130002119 |
| Provider Name | Marc S Lampell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154390508 PECOS PAC ID: 6406893353 Enrollment ID: I20170223001828 |
| Provider Name | Justin B Klein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528495587 PECOS PAC ID: 3779860986 Enrollment ID: I20170425002552 |
| Provider Name | Jigarkumar Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316485592 PECOS PAC ID: 6608144613 Enrollment ID: I20170615002555 |
| Provider Name | Patricia Enid Gardner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871643791 PECOS PAC ID: 0840223889 Enrollment ID: I20170718001311 |
| Provider Name | Kenneth D Krabacher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902224066 PECOS PAC ID: 3476853847 Enrollment ID: I20170815000426 |
| Provider Name | Eric K Dichter |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1033557772 PECOS PAC ID: 1759653686 Enrollment ID: I20170828000833 |
| Provider Name | Diana Maria Macian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780730424 PECOS PAC ID: 4981842432 Enrollment ID: I20171214002297 |
| Provider Name | Allison Hyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033621305 PECOS PAC ID: 4789942418 Enrollment ID: I20171229000410 |
| Provider Name | Jesus Cardenas Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669995379 PECOS PAC ID: 9830458488 Enrollment ID: I20180105001180 |
| Provider Name | Kristoffer T Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740220946 PECOS PAC ID: 3779612908 Enrollment ID: I20180206000489 |
| Provider Name | Ebony D Hunter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518131440 PECOS PAC ID: 6901057439 Enrollment ID: I20180427001642 |
| Provider Name | Christopher Kumetz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487049623 PECOS PAC ID: 7012221948 Enrollment ID: I20180706000952 |
| Provider Name | Michelle Lyn Mendoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265633648 PECOS PAC ID: 8123194578 Enrollment ID: I20180809000912 |
| Provider Name | Jane Reid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528042793 PECOS PAC ID: 7810985595 Enrollment ID: I20181106001756 |
| Provider Name | Victor A Ramos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861785941 PECOS PAC ID: 4082974282 Enrollment ID: I20181127002060 |
| Provider Name | Ashley R D'orazio Bradfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912319633 PECOS PAC ID: 1658615760 Enrollment ID: I20181130000353 |
| Provider Name | Michelle L Hollenbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235614991 PECOS PAC ID: 0244574994 Enrollment ID: I20181206000889 |
| Provider Name | Lauren Cassell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629464920 PECOS PAC ID: 8921356601 Enrollment ID: I20181228001193 |
| Provider Name | Lindsay M Alcantara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295218048 PECOS PAC ID: 3072859354 Enrollment ID: I20190108000158 |
| Provider Name | Kathryn M Guffrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144512252 PECOS PAC ID: 5799906780 Enrollment ID: I20190109000759 |
| Provider Name | Christa Lin Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316332968 PECOS PAC ID: 8426394081 Enrollment ID: I20190118000839 |
| Provider Name | Christopher Dudek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720407620 PECOS PAC ID: 1355689852 Enrollment ID: I20190207001916 |
| Provider Name | Jessica Chambers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700269685 PECOS PAC ID: 7214265693 Enrollment ID: I20190822003087 |
| Provider Name | Michael R Crum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912352030 PECOS PAC ID: 0446540660 Enrollment ID: I20190827004020 |
| Provider Name | Jacob Frier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407201734 PECOS PAC ID: 1456698091 Enrollment ID: I20190906000359 |
| Provider Name | Joseph J Violaris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073968368 PECOS PAC ID: 8123314705 Enrollment ID: I20190911003800 |
| Provider Name | Geetha Herath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730104183 PECOS PAC ID: 8426108747 Enrollment ID: I20200110000595 |
| Provider Name | Joshua M Colvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093980450 PECOS PAC ID: 2769508852 Enrollment ID: I20200218002773 |
| Provider Name | Tracy Marie Bishop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295172815 PECOS PAC ID: 6204075153 Enrollment ID: I20200427002092 |
| Provider Name | Alexandria B Farish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720493299 PECOS PAC ID: 4486082328 Enrollment ID: I20200821000702 |
| Provider Name | Anne Caroline Garnier Norman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083880132 PECOS PAC ID: 2567587124 Enrollment ID: I20201021001738 |
| Provider Name | Aleksandra Trifunovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679737068 PECOS PAC ID: 9931363033 Enrollment ID: I20210505000606 |
| Provider Name | Boris Ryabtsev |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598252819 PECOS PAC ID: 8628478617 Enrollment ID: I20210614000417 |
| Provider Name | Arnaldo J Abreu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275629297 PECOS PAC ID: 4981720737 Enrollment ID: I20210614003087 |
| Provider Name | Dominique Marie Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962923508 PECOS PAC ID: 9537582184 Enrollment ID: I20210621000715 |
| Provider Name | Joel R Wussow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598023749 PECOS PAC ID: 5698068286 Enrollment ID: I20210817001932 |
| Provider Name | Sean A Curtis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376955591 PECOS PAC ID: 6002185105 Enrollment ID: I20210826000703 |
| Provider Name | Zachariah Hatoum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184120008 PECOS PAC ID: 3476896945 Enrollment ID: I20210827000706 |
| Provider Name | Dylan Randall Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134650906 PECOS PAC ID: 9234534314 Enrollment ID: I20210827001272 |
| Provider Name | Martin Vincent Gaccione |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427554930 PECOS PAC ID: 5890190896 Enrollment ID: I20210827002540 |
| Provider Name | Jahan Rad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629573290 PECOS PAC ID: 5890047336 Enrollment ID: I20210927000180 |
| Provider Name | Benjamin Joseph Lehr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427541333 PECOS PAC ID: 1557617644 Enrollment ID: I20211207001274 |
| Provider Name | Stephen Ferraresi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396131843 PECOS PAC ID: 5193031813 Enrollment ID: I20211213001821 |
| Provider Name | Yoldez A Meroueh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578096723 PECOS PAC ID: 7315298569 Enrollment ID: I20211230000822 |
| Provider Name | Amarpal K Purewal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063469724 PECOS PAC ID: 2668434986 Enrollment ID: I20220322003312 |
| Provider Name | Trung Bao Le |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386077279 PECOS PAC ID: 6406160274 Enrollment ID: I20221129001881 |
| Provider Name | Shamicka North |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558618173 PECOS PAC ID: 4385920065 Enrollment ID: I20221208001911 |
| Provider Name | Vanessa Sabri Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356058622 PECOS PAC ID: 9830561307 Enrollment ID: I20230209001042 |
| Provider Name | Kayur Vithalbhai Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366481947 PECOS PAC ID: 6305817313 Enrollment ID: I20230221001765 |
| Provider Name | Nabil Elie Khoury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497836548 PECOS PAC ID: 4385811603 Enrollment ID: I20230315000080 |
| Provider Name | David Markenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093781726 PECOS PAC ID: 9133167836 Enrollment ID: I20230414001096 |
| Provider Name | Ashley Rose Humphries |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457706566 PECOS PAC ID: 0941593099 Enrollment ID: I20230424001891 |
| Provider Name | Lori Gauthier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164749917 PECOS PAC ID: 8022205301 Enrollment ID: I20230726002439 |
| Provider Name | Taylor Michael Lynch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265051437 PECOS PAC ID: 3274995915 Enrollment ID: I20230814000737 |
| Provider Name | Katherine Margaret Wietecha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083243109 PECOS PAC ID: 4486016979 Enrollment ID: I20230815003963 |
| Provider Name | Travis Esposito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245895952 PECOS PAC ID: 1557786852 Enrollment ID: I20230816000629 |
| Provider Name | Lance David Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346878006 PECOS PAC ID: 0446614226 Enrollment ID: I20230912003218 |
| Provider Name | Charles Suastegui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225322605 PECOS PAC ID: 5890930796 Enrollment ID: I20231013000033 |
| Provider Name | Byron Harrison Mainor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134171804 PECOS PAC ID: 9335132489 Enrollment ID: I20231026004130 |
| Provider Name | Tracey Lynn Hashemi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508857905 PECOS PAC ID: 6204725716 Enrollment ID: I20231108003025 |
| Provider Name | Timothy Michael Galey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770756157 PECOS PAC ID: 1153508858 Enrollment ID: I20240110000473 |
| Provider Name | Jeffrey Scott Gudes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508272220 PECOS PAC ID: 5799052528 Enrollment ID: I20240520003827 |
| Provider Name | Kenji Oyasu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487768552 PECOS PAC ID: 9739285941 Enrollment ID: I20240603000165 |
| Provider Name | Christopher Nicholas Barron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225617665 PECOS PAC ID: 1557728052 Enrollment ID: I20240801003033 |
| Provider Name | Brian Anthony Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558947119 PECOS PAC ID: 4587065529 Enrollment ID: I20240815002769 |
| Provider Name | James Christian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942835145 PECOS PAC ID: 2365843646 Enrollment ID: I20240904002474 |
| Provider Name | Alex Gechlik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639752157 PECOS PAC ID: 0840730891 Enrollment ID: I20240905002407 |
| Provider Name | Amy L Jeffries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780978619 PECOS PAC ID: 5597990986 Enrollment ID: I20241007003592 |
| Provider Name | Maria Hoeller Dominguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548615628 PECOS PAC ID: 2860819398 Enrollment ID: I20241015004241 |
| Provider Name | Steven Forrest Chapman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427149608 PECOS PAC ID: 6204731888 Enrollment ID: I20241023001752 |
| Provider Name | Kimberly Herard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528697018 PECOS PAC ID: 3779906599 Enrollment ID: I20241024004614 |
Olde Naples Nuviva Medical Weight Loss Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 8th St S, 103, Naples, FL 34102 Phone: 239-384-9115 | |
Gerardo Diaz, Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2664 Tamiami Trl E, Naples, FL 34112 Phone: 239-428-1010 Fax: 239-785-1752 | |
Epn Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 Creekside St, Suite 105, Naples, FL 34108 Phone: 239-594-2720 | |
Joy Health & Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2335 Tamiami Trl N, Suite 205, Naples, FL 34103 Phone: 239-200-6796 Fax: 186-691-0832 | |
Biowell Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1175 Creekside Pkwy Ste 300, Naples, FL 34108 Phone: 844-276-9700 | |
Woundcyte Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15495 Tamiami Trl N Ste 119, Naples, FL 34110 Phone: 844-276-9700 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Goodlette Road N, Suite 200, Naples, FL 34102 Phone: 239-302-3300 Fax: 239-302-3301 |