GULF COAST HMA PHYSICIAN MANAGEMENT LLC (NPI# 1023315355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023315355 |
| Entity Type | Organization |
| Organization Name | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Other Organization Name | GULF COAST NEUROLOGY ASSOCIATES |
| Practice Address |
600 Nokomis Ave S Suite 204 Venice FL 34285-3209 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 9414866600 |
| Practice Fax Number | 9414866610 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gulf Coast Neurology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770879363 | Gulf Coast Hma Physician Management LLC | Nurse Practitioner | 1000 Aston Gardens Dr, Venice, FL 34292-3078 | 2011-06-22 |
| 1699072934 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 250 W Dearborn St, Englewood, FL 34223-3245 | 2011-02-23 |
| 1407806094 | Gulf Coast Hma Physician Management LLC | Family Medicine | 1101 Tamiami Trl S, Suite 101, Venice, FL 34285-4133 | 2006-05-12 |
| 1558745463 | Gulf Coast Hma Physician Management LLC | Dietitian, Registered | 1370 E Venice Ave, Ste 205, Venice, FL 34285-9082 | 2015-07-10 |
| 1932470648 | Gulf Coast Hma Physician Management LLC | Podiatrist | 1211 Jacaranda Blvd, Venice, FL 34292-4520 | 2012-01-26 |
| 1255625067 | Gulf Coast Hma Physician Management LLC | Pain Medicine | 417 Commercial Ct, Suite A6, Venice, FL 34292-1655 | 2011-06-09 |
| 1861790206 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 1720 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1770881112 | Gulf Coast Hma Physician Management LLC | Clinical Medical Laboratory | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1033417472 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1851699292 | Gulf Coast Hma Physician Management LLC | Nurse Practitioner | 333 Miami Ave W, Venice, FL 34285-2361 | 2011-03-09 |
| Street Address |
600 NOKOMIS AVE S SUITE 204 |
| City | VENICE |
| State | FL |
| Zip Code | 34285-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639144629 | Vance Edward Wilson | Nurse Anesthetist, Certified Registered | 600 Nokomis Ave S, Suite 200, Venice, FL 34285-3209 | 2006-02-22 |
| 1790948636 | Florida Cardiac Consultants, Inc | Internal Medicine | 600 Nokomis Ave S, Suite 101, Venice, FL 34285-3209 | 2008-07-09 |
| 1659564524 | Gloria C Nova-fuson | Nurse Anesthetist, Certified Registered | 600 Nokomis Ave S, Venice, FL 34285-3209 | 2007-08-23 |
| 1760588206 | Stephen Malmberg | Nurse Anesthetist, Certified Registered | 600 Nokomis Ave S, Ste 200, Venice, FL 34285-3209 | 2006-09-15 |
| 1366548802 | Patrick Daniel | Nurse Anesthetist, Certified Registered | 600 Nokomis Ave S, Ste 200, Venice, FL 34285-3209 | 2006-09-15 |
| 1194821785 | Joseph D'amico | Anesthesiology | 600 Nokomis Ave S, Ste 200, Venice, FL 34285-3209 | 2006-09-15 |
| 1811093412 | Robert Dienes | Anesthesiology | 600 Nokomis Ave S, Ste 200, Venice, FL 34285-3209 | 2006-09-15 |
| 1346346947 | Alan Glover | Anesthesiology | 600 Nokomis Ave S, Ste 200, Venice, FL 34285-3209 | 2006-09-15 |
| 1235235839 | David Abello | Anesthesiology | 600 Nokomis Ave S, Ste 200, Venice, FL 34285-3209 | 2006-09-15 |
| 1477657401 | Professional Anesthesia Associates of Venice | Anesthesiology | 600 Nokomis Ave S, Ste 200, Venice, FL 34285-3209 | 2006-09-11 |
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|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
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| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083024145 | Daniel Vitantonio | Psychiatry & Neurology | 737 Vernon Ave, Venice, CA 90291-2738 | 2014-04-29 |
| 1780840819 | Michael David Hoffstetter | Psychiatry & Neurology | 600 Nokomis Ave S Ste 204, Venice, FL 34285 | 2008-07-29 |
| 1124028915 | Neurologic Consultants, Pa | Psychiatry & Neurology | 517 Riviera St, Suite A, Venice, FL 34285-2827 | 2005-07-22 |
| 1487070389 | Adriana Naidel | Psychiatry & Neurology | 600 Nokomis Ave S Ste 204, Venice, FL 34285 | 2014-03-16 |
| 1316283351 | Allen M. Lifton, Md, Pa | Psychiatry & Neurology | 200 Capri Isles Blvd, Suite 7d, Venice, FL 34292-2302 | 2012-12-19 |
| 1326144817 | Allen Lifton | Psychiatry & Neurology | 200 Capri Isles Blvd, Suite 7d, Venice, FL 34292-5350 | 2006-09-15 |
| 1225146350 | Jullius I Ancheta | Psychiatry & Neurology | 517 Riviera St, Suite A, Venice, FL 34285-2827 | 2006-08-28 |
| 1093754863 | Tonya Ditrapani Stephenson | Psychiatry & Neurology | 600 Nokomis Ave S, Suite 204, Venice, FL 34285-3209 | 2006-06-06 |
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|---|---|---|---|---|
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| 1235757899 | Miami Headache Center, Pllc | Psychiatry & Neurology | 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 | 2020-07-10 |
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1104458462 | Neuro Synchrony LLC | Psychiatry & Neurology | 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 | 2020-02-05 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.