Gonzalo J Carrizo (NPI# 1801933171, PAC ID# 5991854630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC SURGERY.
| Nation Provider ID (NPI) | 1801933171 |
| PAC ID by PECOS | 5991854630 |
| Professional Enrollment ID | I20090528000522 |
| Full Name | Gonzalo J Carrizo |
| Organization Legal Name | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| Address |
2525 Harbor Boulevard Port Charlotte FL 33952-5342 |
| Phone Number | 9412060325 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | CARDIAC SURGERY |
| Secondary Specialties | THORACIC SURGERY, VASCULAR SURGERY |
| Group Practice PAC ID | 8729187901 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100077 | BAYFRONT HEALTH PORT CHARLOTTE |
| 100047 | BAYFRONT HEALTH PUNTA GORDA |
| Address | Phone | Organization |
|---|---|---|
| 2525 Harbor Boulevard, Port Charlotte, FL 33952-5342 | 9412060325 | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| 2525 Harbor Boulevard, Suite 208, Port Charlotte, FL 33952-5342 | 9412060325 | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| Organization Legal Name | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Frances Hollenbeck | Nurse Practitioner | Port Charlotte Hma Physician Management LLC | 2380 Harbor Blvd, Port Charlotte, FL 33952-5024 |
| Domenico Calcaterra | Thoracic Surgery | Port Charlotte Hma Physician Management LLC | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 |
| Kelly Anne Weaver | Nurse Practitioner | Port Charlotte Hma Physician Management LLC | 3067 Tamiami Trl, Port Charlotte, FL 33952-6619 |
| Hernan G Fuentes | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 15061 Tamiami Trl, Suite 1, North Port, FL 34287-2734 |
| Chungchieh D Chou | Anesthesiology | Port Charlotte Hma Physician Management LLC | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 |
| Marat V Grigorov | Neurosurgery | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Bridgett V Donalson | Nurse Practitioner | Port Charlotte Hma Physician Management LLC | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 |
| Jennifer D'abarno | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Ruben Guzman | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Eileen C De Grandis | Vascular Surgery | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Street Address |
2525 HARBOR BOULEVARD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip | 33952-5342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Barrett | Clinical Social Worker | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Manuel F Gallego | Psychiatry | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Mason S Maulsby | Nurse Practitioner | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Kimberly M Huggard | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Rita F De Palma | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| David M Reilly | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Ewa A Bialikiewicz | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Gary B Jacobs | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Douglas G Henricks | Internal Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Joseph Piccolo | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Find all physicians in zip 33952 | |||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
| Specialty | CARDIAC SURGERY |
| City + Specialty | PORT CHARLOTTE + CARDIAC SURGERY |
Please comment or provide details below to improve the information on Gonzalo J Carrizo.
| 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.