Individual
DR. KARL G. DAMIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21205 OLEAN BLVD, SUITE A, PORT CHARLOTTE, FL 33952-6756
(941) 613-2800
(941) 613-2801
Mailing address
21205 OLEAN BLVD, SUITE A, PORT CHARLOTTE, FL 33952-6756
(941) 613-2800
(941) 613-2801
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0090746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268178100
MEDICAID GROUP NUMBER
FL
05
—
271223700
—
FL
01
—
K2851
MEDICARE GROUP NUMBER
FL
Enumeration date
10/11/2005
Last updated
02/24/2022
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