Matthew C Ercolani (NPI# 1801059894, PAC ID# 8921282187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1801059894 |
| PAC ID by PECOS | 8921282187 |
| Professional Enrollment ID | I20110412000902 |
| Full Name | Matthew C Ercolani |
| Organization Legal Name | FLORIDA MEDICAL SPECIALISTS LLC |
| Address |
4401 Cortez Rd W Bradenton Physicians Medical Center Bradenton FL 34210-3142 |
| Phone Number | 9413575550 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2004 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 5799786687 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050030 | OROVILLE HOSPITAL |
| 100267 | ENGLEWOOD COMMUNITY HOSPITAL |
| 030069 | HAVASU REGIONAL MEDICAL CENTER |
| 100213 | BLAKE MEDICAL CENTER |
| 051324 | NORTHERN INYO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4401 Cortez Rd W, Bradenton Physicians Medical Center, Bradenton, FL 34210-3142 | 9413575550 | FLORIDA MEDICAL SPECIALISTS LLC |
| 2450 Oro Dam E Blvd, Oroville, CA 95966-6052 | 5305383171 | OROHEALTH CORPORATION A NON PROFIT HEALTHCARE SYSTEM |
| Organization Legal Name | FLORIDA MEDICAL SPECIALISTS LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Florence Arnold | Medical Oncology | Florida Medical Specialists LLC | 4351 Cortez Rd W, 100 Cancer Center of Sarasota Manatee, Bradenton, FL 34210-3140 |
| Nicole Elaine Myers | Family Medicine | Florida Medical Specialists LLC | 6110 State Rd 70, Primecare of Manatee, Bradenton, FL 34203-9712 |
| Jessica Laurent | Nurse Practitioner | Florida Medical Specialists LLC | 7915 Us Hwy 301 N 103, Maxhealth, Ellenton, FL 34222-3532 |
| Katrina Gabrielle Mylett | Nurse Practitioner | Florida Medical Specialists LLC | 5601 21st W Ave D, Manatee Family Physicians, Bradenton, FL 34209-5642 |
| Krystina Marian Hadra | Physician Assistant | Florida Medical Specialists LLC | 4401 Cortez Rd W, Bradenton Physicians Medical Center, Bradenton, FL 34210-3142 |
| Jill C Rose | Physical Therapy | Florida Medical Specialists LLC | 6114 State Rd 70, Kaizen Total Wellness, Bradenton, FL 34203-9712 |
| Nicholas J Angelastro | General Practice | Florida Medical Specialists LLC | 8620 S Tamiami Trl F-g, Maxhealth, Sarasota, FL 34238-3049 |
| Jonathan S Ware | Family Practice | Florida Medical Specialists LLC | 6312 Us Hwy 301 N, Ellenton, FL 34222-3066 |
| Leslie E Schwartz | Internal Medicine | Florida Medical Specialists LLC | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 |
| Alejandro L Martinez | Family Medicine | Florida Medical Specialists LLC | 7915 Us Hwy 301 N 103, Maxhealth, Ellenton, FL 34222-3532 |
| Street Address |
4401 CORTEZ RD W BRADENTON PHYSICIANS MEDICAL CENTER |
| City | BRADENTON |
| State | FL |
| Zip | 34210-3142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krystina Marian Hadra | Physician Assistant | Florida Medical Specialists LLC | 4401 Cortez Rd W, Bradenton Physicians Medical Center, Bradenton, FL 34210-3142 |
| Sharon D Rudolph | Nurse Practitioner | Florida Medical Specialists LLC | 4401 Cortez Rd W, Bradenton Physicians Medical Center, Bradenton, FL 34210-3142 |
| Bendji Thony | Nurse Practitioner | Florida Medical Specialists LLC | 4401 Cortez Rd W, Bradenton Physicians Medical Center, Bradenton, FL 34210-3142 |
| Naderge Dumorne | Nurse Practitioner | Florida Medical Specialists LLC | 4401 Cortez Rd W, Bradenton Physicians Medical Center, Bradenton, FL 34210-3142 |
| Michael J Dale | Physician Assistant | Florida Medical Specialists LLC | 4401 Cortez Rd W, Bradenton Physicians Medical Center, Bradenton, FL 34210-3142 |
| Shahnaz Ahmed | Internal Medicine | Florida Medical Specialists LLC | 4401 Cortez Rd W, Bradenton Physicians Medical Center, Bradenton, FL 34210-3142 |
| Elina S Belilovskiy | Nurse Practitioner | Florida Medical Specialists LLC | 4401 Cortez Rd W, Bradenton Physicians Medical Center, Bradenton, FL 34210-3142 |
| Kia Nissan Mcduffie | Nurse Practitioner | Florida Medical Specialists LLC | 4401 Cortez Rd W, Bradenton Physicians Medical Center, Bradenton, FL 34210-3142 |
| Elizabeth A Wilson | Nurse Practitioner | Florida Medical Specialists LLC | 4401 Cortez Rd W, Bradenton, FL 34210-3142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn G Gallo | Chiropractic | 7018 Cortez Rd W, Bradenton, FL 34210-2508 | |
| Michael S Park | Neurosurgery | West Florida Physician Network, LLC | 7005 Cortez Rd W, Bradenton, FL 34210-2509 |
| Diane L Raccio | Nurse Practitioner | 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 |
| 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 |
| Find all physicians in zip 34210 | |||
| City | BRADENTON |
| Zip Code | 34210 |
| Specialty | UROLOGY |
| City + Specialty | BRADENTON + UROLOGY |
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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.