Organization Active NPI

Calvino Family Medicine PLLC

  • Family Medicine Physician
  • Punta Gorda, FL
National Provider Identifier
1780315259
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CALVINO FAMILY MEDICINE PLLC
Practice address
260 Milus St
Punta Gorda, FL 33950-3824
Phone
(941) 637-0911
Fax
(941) 637-9153
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Stephane Calvino, MD
Title
Physician/Owner
Phone
(941) 637-0911

Specialties & licenses 1

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

Addresses

Primary practice location

260 Milus St
Punta Gorda, FL 33950-3824

Mailing address

260 Milus St
Punta Gorda, FL 33950-3824
Phone (941) 637-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220803001855 FL Part B Supplier - Clinic/Group Practice 8729460027 Receives reassigned benefits from 1 practitioner
Practice locations: Punta Gorda, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0719385Calvino Family Medicine PLLC260 Milus St, Punta Gorda, FL 33950Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1780315259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MILUS ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503824",
            "telephone_number": "941-637-0911",
            "fax_number": "941-637-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MILUS ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503824",
            "telephone_number": "941-637-0911",
            "fax_number": "941-637-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVINO FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "CALVINO",
        "authorized_official_first_name": "STEPHANE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "941-637-0911",
        "authorized_official_credential": "MD"
    },
    "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 Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.