Organization Active NPI

Peace River Tropical Medicine Inc

  • Family Medicine Physician
  • Punta Gorda, FL
National Provider Identifier
1720126238
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PEACE RIVER TROPICAL MEDICINE INC
Practice address
733 E Olympia Ave
Punta Gorda, FL 33950-3841
Phone
(941) 380-6022
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Emil Anton Dameff, M.D.NPI 1811035314
Title
President
Phone
(941) 380-6022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

733 E Olympia Ave
Punta Gorda, FL 33950-3841

Mailing address

PO Box 510297
Punta Gorda, FL 33951-0297

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1720126238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510297",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339510297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 E OLYMPIA AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503841",
            "telephone_number": "941-380-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE RIVER TROPICAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "DAMEFF",
        "authorized_official_first_name": "EMIL",
        "authorized_official_middle_name": "ANTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-380-6022",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.