Mario E Carbonell


Address: 17912 Toledo Blade Blvd A, Port Charlotte, FL 33948-1021

Mario E Carbonell (NPI# 1639150048, PAC ID# 5890861421) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1639150048
PAC ID by PECOS 5890861421
Professional Enrollment ID I20080905000416
Full Name Mario E Carbonell
Address 17912 Toledo Blade Blvd A
Port Charlotte
FL 33948-1021
Gender M
Graduation Year 1986
Primary Specialty INTERNAL MEDICINE
Secondary Specialties GERIATRIC MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100087 SARASOTA MEMORIAL HOSPITAL
100077 BAYFRONT HEALTH PORT CHARLOTTE
100047 BAYFRONT HEALTH PUNTA GORDA
100236 FAWCETT MEMORIAL HOSPITAL
100175 DESOTO MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
17912 Toledo Blade Blvd A, Port Charlotte, FL 33948-1021

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 17912 TOLEDO BLADE BLVD A
City PORT CHARLOTTE
State FL
Zip 33948-1021

Physicians in the same zip code

Name Specialty Organization Address
Roxanne J Cropp Certified Registered Nurse Anesthetist (crna) Gulf Coast Anesthesia Associates Inc 1400 Education Way, Port Charlotte, FL 33948-1000
Jason Michael Mlnarik Orthopedic Surgery Advanced Orthopedic Center of Charlotte County, Pa 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018
Steven Raymond Anthony Orthopedic Surgery Advanced Orthopedic Center of Charlotte County, Pa 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018
Marat V Grigorov Neurosurgery Port Charlotte Hma Physician Management LLC 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018
Amanda S. Pumilia Nurse Practitioner Advanced Orthopedic Center of Charlotte County, Pa 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018
Jennifer D'abarno Obstetrics/gynecology Port Charlotte Hma Physician Management LLC 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018
Nicholas J Connors Orthopedic Surgery Advanced Orthopedic Center of Charlotte County, Pa 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018
Robert P Stchur Orthopedic Surgery Advanced Orthopedic Center of Charlotte County, Pa 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018
Ruben Guzman Obstetrics/gynecology Port Charlotte Hma Physician Management LLC 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018
Eileen C De Grandis Vascular Surgery Port Charlotte Hma Physician Management LLC 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018
Find all physicians in zip 33948

Competitor

Search similar physicians

City PORT CHARLOTTE
Zip Code 33948
Specialty INTERNAL MEDICINE
City + Specialty PORT CHARLOTTE + INTERNAL MEDICINE

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Dataset Information

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.

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