Ips of Punta Gorda LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

IPS OF PUNTA GORDA LLC

Practice address

1400 Education Way
PT Charlotte, FL 33948-1000

Phone

(941) 625-9800

Fax

(941) 625-3492

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Carl R. Noback, MD

Title

Authorized Official

Phone

(941) 360-1566

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1710110077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864483",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EDUCATION WAY",
            "city": "PT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481000",
            "telephone_number": "941-625-9800",
            "fax_number": "941-625-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPS OF PUNTA GORDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "NOBACK",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "941-360-1566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alf Paradise Inc (Springs Day Care)
• Joseph Borza Jr.
• Kathryn L Bradley, CRNA
• Charlotte County Health Department
• Jeffrey M Moore OD PA
• Howard M. Kalter, PH.D.
• Sara Kamrani Torkestani, MD
• Joan O Kemsley, PA
• Brian J Kerbyson, D.O.

• Anesthesiology Physician in PT Charlotte, FL
• Providers in PT Charlotte, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.