David Grace (NPI# 1740275577, PAC ID# 1557404597) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1740275577 |
| PAC ID by PECOS | 1557404597 |
| Professional Enrollment ID | I20100129000722 |
| Full Name | David Grace |
| Organization Legal Name | WEST FLORIDA PHYSICIAN NETWORK, LLC |
| Address |
4110 Manatee Ave W Bradenton FL 34205-1719 |
| Phone Number | 9417488383 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153476544 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100213 | BLAKE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 315 75th Ave W, Bradenton, FL 34209-3201 | 9417611616 | WEST FLORIDA PHYSICIAN NETWORK, LLC |
| 4110 Manatee Ave W, Bradenton, FL 34205-1719 | 9417488383 | WEST FLORIDA PHYSICIAN NETWORK, LLC |
| Organization Legal Name | WEST FLORIDA PHYSICIAN NETWORK, LLC |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Park | Neurosurgery | West Florida Physician Network, LLC | 7005 Cortez Rd W, Bradenton, FL 34210-2509 |
| Enrico V Vintayen | Neurology | West Florida Physician Network, LLC | 517 Tamiami Trl, Punta Gorda, FL 33950-5520 |
| Melissa K Telfer | Nurse Practitioner | West Florida Physician Network, LLC | 21260 Olean Blvd, Suite 105, Port Charlotte, FL 33952-6742 |
| Brian T Mckinley | Rheumatology | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Joseph P Pecoraro | General Surgery | West Florida Physician Network, LLC | 315 75th St W, Bradenton, FL 34209-3201 |
| Daniel H Ober | Physician Assistant | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Diane L Raccio | Nurse Practitioner | West Florida Physician Network, LLC | 7005 Cortez Rd W, Bradenton, FL 34210-2509 |
| Steven B Goldin | Surgical Oncology | West Florida Physician Network, LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Camilo L Cabrera | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Fred Bearison | Internal Medicine | West Florida Physician Network, LLC | 315 75th Ave W, Bradenton, FL 34209-3201 |
| Street Address |
4110 MANATEE AVE W |
| City | BRADENTON |
| State | FL |
| Zip | 34205-1719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian T Mckinley | Rheumatology | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Daniel H Ober | Physician Assistant | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Camilo L Cabrera | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| David P Divita | Family Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Carlos M Rodriguez-mendoza | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Cheung T Teav | Physical Therapy | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Andrew M Guzman | Family Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Marc S. Kallins | Physical Medicine and Rehabilitation | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Osvaldo F Mardones | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Francisco H Esparza | Neurology | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arleta A Kitlas | Internal Medicine | 3915 8th Ave W, Bradenton, FL 34205-1701 | |
| Pamela C Chapman | Osteopathic Manipulative Medicine | 3930 8th Ave W, Bradenton, FL 34205-1702 | |
| Daniel J Serpentelli | Chiropractic | 3806 Manatee Ave W, Suite 100, Bradenton, FL 34205-1714 | |
| Jack M Alexander | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Alexander G Hernandez | Physical Therapy | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Sergio J Perez | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| David S Tsai | Physical Medicine and Rehabilitation | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Laura Y Vanhandel | Physician Assistant | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Tatiana K Clark | Nurse Practitioner | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Claudia V Hoefferle | Physician Assistant | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Find all physicians in zip 34205 | |||
| City | BRADENTON |
| Zip Code | 34205 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BRADENTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on David Grace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.