Physician Healthcare Professionals of Florida Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PHYSICIAN HEALTHCARE PROFESSIONALS OF FLORIDA INC

Practice address

1107 W Marion Ave
Suite 116
Punta Gorda, FL 33950-5372

Phone

(941) 637-1076

Fax

(941) 637-7226

NPI assigned

Oct 28, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Demetrios Gonis, M.D.

Title

Physician

Phone

(941) 637-1076

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore W Yaremo, M.D., P.A.

  • Gastroenterology Physician
  • Punta Gorda, FL
  • NPI 1780674838
  NPD
• Mary A Dion, FNP-BC

  • Family Nurse Practitioner
  • Estero, FL
  • NPI 1538147350
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013907187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W MARION AVE",
            "address_2": "SUITE 116",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505372",
            "telephone_number": "941-637-1076",
            "fax_number": "941-637-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W MARION AVE",
            "address_2": "SUITE 116",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505372",
            "telephone_number": "941-637-1076",
            "fax_number": "941-637-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN HEALTHCARE PROFESSIONALS OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GONIS",
        "authorized_official_first_name": "DEMETRIOS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "941-637-1076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K4735",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07411",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00097605",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "98380",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Perrin Peterson, ACSW, LCSW
• Petrija Jen DO PA
• Gregory Philactos
• Wanda Shavon Phipps, MSP
• Physical Therapy on Demand Inc
• Physiotherapy Associates, Inc.
• Valerie Piazza, CSFA
• Dayan Pintueles Rivero
• Christina Watson Plaisted, APRN
• Playgrow Behavior Group Inc

• Internal Medicine Physician in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.