| Southwest Florida Medicine Pllc | |
|
2902 59th St W Suite C Bradenton FL 34209-7021 | |
| (941) 877-7000 | |
| Not Available |
| Full Name | Southwest Florida Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2902 59th St W, Bradenton, Florida |
| Authorized Official Name and Position | Azim A Lalani (MANAGER) |
| Authorized Official Contact | 2484211184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Florida Medicine Pllc Po Box 21116 Bradenton FL 34204-1116 Ph: (941) 877-7000 | Southwest Florida Medicine Pllc 2902 59th St W Suite C Bradenton FL 34209-7021 Ph: (941) 877-7000 |
| NPI Number | 1356886790 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 01/06/2020 |
| Medicare PECOS PAC ID | 0749565935 |
|---|---|
| Medicare Enrollment ID | O20170330002691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356886790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel Amoah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063612927 PECOS PAC ID: 9931292117 Enrollment ID: I20070904000466 |
| Provider Name | Azim A Lalani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649455601 PECOS PAC ID: 4587717962 Enrollment ID: I20090803000276 |
| Provider Name | John Thomas Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861846115 PECOS PAC ID: 2860775483 Enrollment ID: I20170206001897 |
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