ELITE UROLOGY OF SOUTHWEST FLORIDA LLC (NPI# 1205449790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205449790 |
| Entity Type | Organization |
| Organization Name | ELITE UROLOGY OF SOUTHWEST FLORIDA LLC |
| Practice Address |
401 Commercial Ct Ste E Venice FL 34292-1652 |
| Practice Telephone | 9412604440 |
| Practice Fax Number | 9412604441 |
| Mailing Telephone | 9412604440 |
| Mailing Fax Number | 9412604441 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | MATTHEW ERCOLANI (PRESIDENT) |
| Authorized Official Telephone | 9412755777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
401 COMMERCIAL CT STE E |
| City | VENICE |
| State | FL |
| Zip Code | 34292-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801059894 | Matthew Corbyons Ercolani | Urology | 401 Commercial Ct Ste E, Venice, FL 34292-1652 | 2008-07-09 |
| 1376020768 | Florida Medical Specialists, LLC | Urology | 401 Commercial Ct Ste E, Venice, FL 34292-1652 | 2018-07-27 |
| 1881919785 | Jordan Ross Luskin | Urology | 401 Commercial Ct Ste E, Venice, FL 34292-1652 | 2010-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801059894 | Matthew Corbyons Ercolani | Urology | 401 Commercial Ct Ste E, Venice, FL 34292-1652 | 2008-07-09 |
| 1487642880 | William M Letson Jr Md Pa | Urology | 1988 Tamiami Trl S, Venice, FL 34293-5001 | 2005-10-10 |
| 1508866104 | Joseph G Thro | Urology | 842 Sunset Lake Blvd, Suite 403, Venice, FL 34292-7551 | 2005-07-26 |
| 1376020768 | Florida Medical Specialists, LLC | Urology | 401 Commercial Ct Ste E, Venice, FL 34292-1652 | 2018-07-27 |
| 1881919785 | Jordan Ross Luskin | Urology | 401 Commercial Ct Ste E, Venice, FL 34292-1652 | 2010-04-02 |
| 1316127152 | Genesiscare Usa of Florida LLC | Urology | 842 Sunset Lake Blvd, Building B - Suite 403, Venice, FL 34292-7551 | 2007-11-09 |
| 1417173154 | William M Letson Jr. | Urology | 1988 Tamiami Trl S, Venice, FL 34293-5001 | 2007-04-18 |
| 1508967761 | Gregory M Lomas | Urology | 842 Sunset Lake Blvd, Suite 403, Bldg. B, Venice, FL 34292-7551 | 2006-09-26 |
| 1912928268 | Ross, Thro, Ruane M.d.'s Pa | Urology | 842 Sunset Lake Blvd, Suite 403, Venice, FL 34292-7551 | 2006-07-22 |
| 1124061890 | Janet L. Colli | Urology | 842 Sunset Lake Blvd, Suite 403, Building B, Venice, FL 34292-7551 | 2006-06-13 |
| Find all providers in VENICE | ||||
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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.