Julia C Shanstrom (NPI# 1619489432, PAC ID# 6901164573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1619489432 |
| PAC ID by PECOS | 6901164573 |
| Professional Enrollment ID | I20181119001697 |
| Full Name | Julia C Shanstrom |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Address |
4265 Laura St Port Charlotte FL 33980-2836 |
| Phone Number | 9417647117 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9830244433 |
| Number of Group Practice Members | 361 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4265 Laura St, Port Charlotte, FL 33980-2836 | 9417647117 | MILLENNIUM PHYSICIAN GROUP LLC |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Physicians | 503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alana Hope Adler | Nurse Practitioner | Millennium Physician Group LLC | 3400 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8102 |
| Kalyani Regeti | Internal Medicine | Millennium Physician Group LLC | 3611 Tamiami Trl B, Port Charlotte, FL 33952-5508 |
| Kevin J Ziegler | Physician Assistant | Millennium Physician Group LLC | 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099 |
| Jennifer Azelton | Nurse Practitioner | Millennium Physician Group LLC | 12995 S Cleveland Ave, Suite 184, Fort Myers, FL 33907-7703 |
| Marcanthony H Morgan | Nurse Practitioner | Millennium Physician Group LLC | 9500 Bonita Beach Rd Se, Bonita Springs, FL 34135-4698 |
| Lauren Blair Arcilla | Nurse Practitioner | Millennium Physician Group LLC | 830 N Mills Ave, Arcadia, FL 34266-8780 |
| Roxanne Denise Hooper | Nurse Practitioner | Millennium Physician Group LLC | 2335 Aaron St, Port Charlotte, FL 33952-5305 |
| Todd Marlowe | Nurse Practitioner | Millennium Physician Group LLC | 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 |
| Nicholas Anton Shelley | Nurse Practitioner | Millennium Physician Group LLC | 12700 Creekside Ln, Suite 201, Fort Myers, FL 33919-3356 |
| Margaret Desear | Nurse Practitioner | Millennium Physician Group LLC | 1495 Pine Ridge Rd, Suite 4, Naples, FL 34109-2113 |
| Street Address |
4265 LAURA ST |
| City | PORT CHARLOTTE |
| State | FL |
| Zip | 33980-2836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcos A Aziz | Physical Therapy | Millennium Physician Group LLC | 4265 Laura St, Port Charlotte, FL 33980-2836 |
| Robin G Deo | Physical Therapy | Millennium Physician Group LLC | 4265 Laura St, Port Charlotte, FL 33980-2836 |
| Lawrence Topor | Physical Therapy | Millennium Physician Group LLC | 4265 Laura St, Port Charlotte, FL 33980-2836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Darmetko | Nurse Practitioner | Florida Department of Health | 1100 Loveland Blvd, Port Charlotte, FL 33980-1802 |
| Elvin M Mendez | Allergy/immunology | Lee Memorial Health System | 22655 Bayshore Rd, Suite 130, Port Charlotte, FL 33980-2005 |
| Krishnamurty Velamakanni | Internal Medicine | 22655 Bayshore Rd, Suite 110, Pt Charlotte, FL 33980-2005 | |
| Vijaya K Murty Velamakanni | Clinical Social Worker | Southwest Psychotherapy and Counseling Center Inc | 22655 Bayshore Rd, Suite 110, Port Charlotte, FL 33980-2005 |
| Arsh Singh | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 |
| Christopher F Lobo | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 |
| Stephen John Vara | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 |
| Alexander E Glick | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 |
| Ivor Percent | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 |
| Soheil Sooudi | Diagnostic Radiology | American Imaging of Southwest Florida, Inc. | 23081 Harborview Rd, Port Charlotte, FL 33980-2153 |
| Find all physicians in zip 33980 | |||
| City | PORT CHARLOTTE |
| Zip Code | 33980 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PORT CHARLOTTE + PHYSICAL THERAPY |
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| 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.