Eric Pecoraro (NPI# 1295381739, PAC ID# 8628308012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1295381739 |
| PAC ID by PECOS | 8628308012 |
| Professional Enrollment ID | I20190927001290 |
| Full Name | Eric Pecoraro |
| Organization Legal Name | FITNESS QUEST-PORT CHARLOTTE LLC |
| Address |
4161 Tamiami Trl Suite 103 Port Charlotte FL 33952-9204 |
| Phone Number | 9417436700 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2264517234 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4161 Tamiami Trl, Suite 103, Port Charlotte, FL 33952-9204 | 9417436700 | FITNESS QUEST-PORT CHARLOTTE LLC |
| Organization Legal Name | FITNESS QUEST-PORT CHARLOTTE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Lagamma | Physical Therapy | Fitness Quest-port Charlotte LLC | 4161 Tamiami Trl, Suite 103, Port Charlotte, FL 33952-9204 |
| Marybeth Protz | Physical Therapy | Fitness Quest-port Charlotte LLC | 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 |
| Street Address |
4161 TAMIAMI TRL SUITE 103 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip | 33952-9204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Lagamma | Physical Therapy | Fitness Quest-port Charlotte LLC | 4161 Tamiami Trl, Suite 103, Port Charlotte, FL 33952-9204 |
| Dianne S Baldwin | Nurse Practitioner | Peace River Cardiovascular Center | 4161 Tamiami Trl, Suite 701, Port Charlotte, FL 33952-9283 |
| David J Kaler | Orthopedic Surgery | Charlotte Orthopaedic Clinic Professional Association | 4161 Tamiami Trl, Suite 101, Port Charlotte, FL 33952-9204 |
| Marybeth Protz | Physical Therapy | Fitness Quest-port Charlotte LLC | 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Barrett | Clinical Social Worker | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Manuel F Gallego | Psychiatry | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Mason S Maulsby | Nurse Practitioner | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Kimberly M Huggard | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Rita F De Palma | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| David M Reilly | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Ewa A Bialikiewicz | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Gary B Jacobs | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Douglas G Henricks | Internal Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Joseph Piccolo | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Find all physicians in zip 33952 | |||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
| 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.