Diane L Raccio (NPI# 1053578377, PAC ID# 5092888388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053578377 |
| PAC ID by PECOS | 5092888388 |
| Professional Enrollment ID | I20121227000380 |
| Full Name | Diane L Raccio |
| Organization Legal Name | WEST FLORIDA PHYSICIAN NETWORK, LLC |
| Address |
7005 Cortez Rd W Bradenton FL 34210-2509 |
| Phone Number | 9414654800 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153476544 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100213 | BLAKE MEDICAL CENTER |
| 100035 | MANATEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7005 Cortez Rd W, Bradenton, FL 34210-2509 | 9414654800 | WEST FLORIDA PHYSICIAN NETWORK, LLC |
| Organization Legal Name | WEST FLORIDA PHYSICIAN NETWORK, LLC |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Park | Neurosurgery | West Florida Physician Network, LLC | 7005 Cortez Rd W, Bradenton, FL 34210-2509 |
| Enrico V Vintayen | Neurology | West Florida Physician Network, LLC | 517 Tamiami Trl, Punta Gorda, FL 33950-5520 |
| Melissa K Telfer | Nurse Practitioner | West Florida Physician Network, LLC | 21260 Olean Blvd, Suite 105, Port Charlotte, FL 33952-6742 |
| Brian T Mckinley | Rheumatology | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Joseph P Pecoraro | General Surgery | West Florida Physician Network, LLC | 315 75th St W, Bradenton, FL 34209-3201 |
| Daniel H Ober | Physician Assistant | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Steven B Goldin | Surgical Oncology | West Florida Physician Network, LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Camilo L Cabrera | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Fred Bearison | Internal Medicine | West Florida Physician Network, LLC | 315 75th Ave W, Bradenton, FL 34209-3201 |
| David P Divita | Family Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Street Address |
7005 CORTEZ RD W |
| City | BRADENTON |
| State | FL |
| Zip | 34210-2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Park | Neurosurgery | West Florida Physician Network, LLC | 7005 Cortez Rd W, Bradenton, FL 34210-2509 |
| Sheyla N Hopkins | Internal Medicine | West Florida Physician Network, LLC | 7005 Cortez Rd W, Bradenton, FL 34210-2509 |
| Jeffrey L Ortstadt | Neurology | West Florida Physician Network, LLC | 7005 Cortez Rd W, Bradenton, FL 34210-2509 |
| Zhora Oganisyan | Neurology | West Florida Physician Network, LLC | 7005 Cortez Rd W, Bradenton, FL 34210-2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn G Gallo | Chiropractic | 7018 Cortez Rd W, Bradenton, FL 34210-2508 | |
| Christa L Hall | Physician Assistant | Terrence T Hopkins Md, Pa | 6011 Cortez W Rd, Bradenton, FL 34210-2709 |
| Terrence T. Hopkins | Dermatology | Terrence T Hopkins Md, Pa | 6011 Cortez W Rd, Bradenton, FL 34210-2709 |
| Linda A Mertens | Clinical Social Worker | Samaritan Counseling Services of The Gulf Coast Inc | 6101 Cortez Rd W, Bradenton, FL 34210-2711 |
| Laura D Johnston | Clinical Social Worker | Samaritan Counseling Services of The Gulf Coast Inc | 6101 Cortez Rd W, Bradenton, FL 34210-2711 |
| David J Goodman | Psychologist, Clinical | Samaritan Counseling Services of The Gulf Coast Inc | 6101 Cortez Rd W, Bradenton, FL 34210-2711 |
| Elizabeth S Ibanez | Psychologist, Clinical | Samaritan Counseling Services of The Gulf Coast Inc | 6101 Cortez Rd W, Bradenton, FL 34210-2711 |
| Melissa Miller | Clinical Social Worker | Samaritan Counseling Services of The Gulf Coast Inc | 6101 Cortez Rd W, Bradenton, FL 34210-2711 |
| James Miller | Clinical Social Worker | Samaritan Counseling Services of The Gulf Coast Inc | 6101 Cortez Rd W, Bradenton, FL 34210-2711 |
| David Charles Preston | Clinical Social Worker | Samaritan Counseling Services of The Gulf Coast Inc | 6101 Cortez Rd W, Bradenton, FL 34210-2711 |
| Find all physicians in zip 34210 | |||
| City | BRADENTON |
| Zip Code | 34210 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRADENTON + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.