DR. PAMELA PAPOLA (NPI# 1083608475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083608475 |
| Entity Type | Individual |
| Full Name | DR. PAMELA PAPOLA |
| Credential | M.D. |
| Practice Address |
22655 Bayshore Rd Ste 120 Port Charlotte FL 33980-2005 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 9412354900 |
| Practice Fax Number | 2393434080 |
| Mailing Telephone | 9412354900 |
| Mailing Fax Number | 2393434080 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
ME63518 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | ME63518 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 71336 | 01 |
| FL | 013953800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15901 Bass Rd, Suite 108, Fort Myers, FL 33908 | 2393436050 | 2393436051 |
| Street Address |
22655 BAYSHORE RD STE 120 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33980-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144699646 | Raymond B Hendricks | Custodial Care Facility | 1306 Annette St, Port Charlotte, FL 33980 | 2015-09-15 |
| 1649616517 | Anne Yvonne Clarke | Nurse's Aide | 3378 Idlewild Street, Port Charlotte, FL 33980 | 2013-05-17 |
| 1427395680 | John F Guarino Md Pa | Surgery | 4245 Kings Hwy, Unit A, Port Charlotte, FL 33980 | 2013-01-08 |
| 1497049027 | Patricia Ann Drow | Occupational Therapist | 24469 Manchester Trail, Port Charlotte, FL 33980 | 2011-05-31 |
| 1811221484 | Amanda K Huffman | Clinical Nurse Specialist | 22655 Bayshore Rd Ste 130, Port Charlotte, FL 33980 | 2009-09-29 |
| 1093967739 | Donna Olson | Nurse Practitioner | 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2008-10-14 |
| 1821278029 | Paula Marie Allison | Dietitian, Registered | 23422 Burlingame Ave, Port Charlotte, FL 33980 | 2007-11-06 |
| 1689865891 | Keith Anthony Williams | Physical Medicine & Rehabilitation | 4265 Laura Street, Port Charlotte, FL 33980 | 2007-08-05 |
| 1578685491 | Richard Michael Cocchieri | Dentist | Florida Department of Health In Charlotte County, 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2007-04-03 |
| 1417989328 | John F Guarino | Surgery | 4245 Kings Highway, Unit A, Port Charlotte, FL 33980 | 2006-07-07 |
| Find all providers in zip 33980 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437710316 | Al-marie Campana | Pediatrics | 5701 Sunset Dr Ste 266, South Miami, FL 33143-5399 | 2019-06-22 |
| 1851599526 | Lillian Ivette Negron | Pediatrics | 14000 Carlton Dr, Davie, FL 33330-4636 | 2007-07-04 |
| 1295845485 | Philip T. Miner | Pediatrics | 83 Columbia St, Orlando, FL 32806-1106 | 2006-08-30 |
| 1487668851 | Naina Mehta | Pediatrics | 100 W Gore St Ste 405, Orlando, FL 32806 | 2006-07-28 |
| 1497711402 | Kidz Medical Srv | Pediatrics | 5955 Ponce De Leon Blv D, Coral Gables, FL 33146 | 2006-04-26 |
| 1477539807 | Pediatric Neurology Center | Pediatrics | 5133 South Lakeland Drive, Lakeland, FL 33813 | 2005-12-18 |
| 1790781946 | Mikhail Mirer | Pediatrics | 1212 S Andrews Ave Ste 201, Ft Lauderdale, FL 33316-1828 | 2005-06-22 |
| 1871983924 | James H Johnson Jr Md Pa | Pediatrics | 2415 University Pkwy, Ste 216, Sarasota, FL 34243-2809 | 2015-01-28 |
| 1407181720 | Kidz Medical Services | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2009-10-05 |
| 1699909341 | Kidz Medical Services | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2009-05-11 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33980 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.