Physician Extenders Pa in Punta Gorda - Family

Physician Extenders Pa - NPI 1720250855

Physician Extenders Pa is a Family in Punta Gorda, Florida. Physician Extenders Pa practices all healthcare services and medical treatments related to Family. The NPI Number for Physician Extenders Pa is 1720250855. The last update date is 2014-03-21.

Physician Extenders Pa's current location address is Po Box 512700, Punta Gorda, Florida. You can contact this provider via phone number 9415859244. The mailing address for Physician Extenders Pa is Po Box 512700, Punta Gorda, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Physician Extenders Pa
Address Po Box 512700, Punta Gorda, Florida
Phone Number 9415859244
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position FAMILY NUR
Authorized Official Name Alessandro Veronica
Credentials ARNP-C
Telephone Number 9415859244

NPI Number Detail

NPI Number 1720250855
Provider Enumeration Date 2008-03-28
Last Updated Date 2014-03-21

Provider Mailing Address Detail

Address Po Box 512700
City Punta Gorda
State Florida (FL)
Post Code 339512700
Phone Number 9415859244
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No ARNP3365012
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DN3859 FL RR MEDICARE

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FAQs about Physician Extenders Pa

What is the unique 10-digit identifier code assigned to Physician Extenders Pa by the Centers for Medicare & Medicaid Services?

The Physician Extenders Pa has been issued the NPI (National Provider Identifier) 1720250855 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Physician Extenders Pa's facilities are situated?

The facilities of Physician Extenders Pa are physically located at the following address: Po Box 512700, Punta Gorda, FL, 339512700.

What is Physician Extenders Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Physician Extenders Pa is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.

When did Physician Extenders Pa receive its 1720250855 assignment?

The Physician Extenders Pa was assigned its 1720250855 on 2008-03-28, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Physician Extenders Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Physician Extenders Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-03-21.

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