RETINA CONSULTANTS OF SOUTHWEST FLORIDA, PA (NPI# 1790733020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790733020 |
| Entity Type | Organization |
| Organization Name | RETINA CONSULTANTS OF SOUTHWEST FLORIDA, PA |
| Practice Address |
2525 Harbor Blvd Suite 302 Pt Charlotte FL 33952-5317 |
| Mailing Address |
6901 International Center Blvd Fort Myers FL 33912-7125 |
| Practice Telephone | 2399394323 |
| Practice Fax Number | 2399393983 |
| Mailing Telephone | 2399394323 |
| Mailing Fax Number | 2399393983 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2017-12-01 |
| Authorized Official Name | DR. JOSEPH P. WALKER (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 2399394323 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | CA7010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649228974 | Retina Consultants of Southwest Florida, Pa | Ophthalmology | 6901 International Center Blvd, Ft Myers, FL 33912-7125 | 2006-05-05 |
| Street Address |
2525 HARBOR BLVD SUITE 302 |
| City | PT CHARLOTTE |
| State | FL |
| Zip Code | 33952-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063686756 | Stephen Petrofsky Dpm Pa | Durable Medical Equipment & Medical Supplies | 2525 Harbor Blvd, Suite 206, Pt Charlotte, FL 33952-5342 | 2008-04-15 |
| 1821051160 | Stephen Petrofsky | Podiatrist | 2525 Harbor Blvd, Suite 206, Pt Charlotte, FL 33952-5342 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253791 | Miami Eye & Retina, Inc | Ophthalmology | 4305 N Jefferson Ave, Miami Beach, FL 33140-2933 | 2018-04-24 |
| 1831608496 | Comprehensive Retina Consultants Pllc | Ophthalmology | 1501 N Us Highway 441 Ste 1106, The Villages, FL 32159-6800 | 2017-09-27 |
| 1538441811 | Pautler Cohen Findlay and Eichenbaum Mds Pa | Ophthalmology | 12903 N 56th St, Temple Terrace, FL 33617-1225 | 2011-09-13 |
| 1497076335 | Elizabeth R Richter | Ophthalmology | 3920 Bee Ridge Rd Bldg D, Sarasota, FL 34233-1207 | 2010-06-15 |
| 1013234624 | Christopher Roy Stelton | Ophthalmology | 3400 S Tamiami Trl Ste 101, Sarasota, FL 34239 | 2010-04-23 |
| 1457389447 | Mandeep Singh Dhalla | Ophthalmology | 6333 N Federal Hwy Ste 300, Fort Lauderdale, FL 33308 | 2006-06-29 |
| 1336144575 | Karina Billiris Findlay | Ophthalmology | 2705 W Saint Isabel St, Tampa, FL 33607-6319 | 2005-06-15 |
| 1659998482 | Don Hershelson Noel | Ophthalmology | 900 Nw 17th St, Miami, FL 33136-1119 | 2020-06-27 |
| 1457918625 | Gary Shienbaum Md Pa | Ophthalmology | 7261 Sheridan St Ste 100b, Hollywood, FL 33024-2708 | 2019-05-23 |
| 1235625039 | South Florida Retina Institute, Pllc | Ophthalmology | 20900 Ne 30th Ave Ste 207, Aventura, FL 33180 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
| City | PT CHARLOTTE |
| Zip Code | 33952 |
Please comment or provide details below to improve the information on RETINA CONSULTANTS OF SOUTHWEST FLORIDA, PA.
| 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.