Individual provider Active NPI

Daniel Antonio Boccardo, MD

  • Cardiovascular Disease Physician
  • Punta Gorda, FL
National Provider Identifier
1568422913
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME140566 Issued in FL
Practice address
96 Vivante Blvd Unit 9627
Punta Gorda, FL 33950-2022
Phone
(917) 750-5817
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 130526 NY
Cardiovascular Disease Physician 207RC0000X ME140566 FL Primary

Addresses

Primary practice location

96 Vivante Blvd Unit 9627
Punta Gorda, FL 33950-2022

Mailing address

96 Vivante Blvd Unit 9627
Punta Gorda, FL 33950-2022
Phone (917) 750-5817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060127000311 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2365456456
I20250803000075 FL Practitioner - Cardiovascular Disease (Cardiology) 2365456456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmona Medical Care IncGroup PAC ID 4486076080, 8 clinicians

Practice addresses (Care Compare)

1708 Cape Coral Pkwy W
Suite 4
Cape Coral, FL 33914-6985
Phone (239) 424-8990

2307 Bolado Pkwy
Cape Coral, FL 33990-2712
Phone (239) 424-8122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME140566FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Medical Office, P.C. CurrentSince Jun 10, 2024 Accepting new patients
Carmona Medical Care Inc Cardiovascular Disease CurrentSince Jul 10, 2025 Accepting new patients
Forest Hills Nuclear Spect Imaging PC Past Accepting new patients

Locations

1708 Cape Coral Pkwy W
Ste 4
Cape Coral, FL 33914
Phone (239) 945-5940

2307 Bolado Pkwy
Cape Coral, FL 33990
Phone (239) 424-8122

8708 Justice Ave
Ste C8
Elmhurst, NY 11373
Phone (718) 424-0339

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1568422913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 VIVANTE BLVD UNIT 9627",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339502022",
            "telephone_number": "917-750-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 VIVANTE BLVD UNIT 9627",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339502022",
            "telephone_number": "917-750-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCARDO",
        "first_name": "DANIEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2025-08-06",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "130526",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME140566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.