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ARCHWELL HEALTH MEDICAL OF FLORIDA, LLC
NPI 1497453450
Internal Medicine in Venice, FL

Active since February 20, 2023CLIA 10D2283110 · Waiver
543 TAMIAMI TRL S, VENICE, FL 34285(941) 837-8002(615) 682-6207 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2023, Feb 28, 2023, Feb 20, 2023 (3 updates tracked since 2023).

About Archwell Health Medical Of Florida, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARCHWELL HEALTH MEDICAL OF FLORIDA, LLC (NPI 1497453450) is a healthcare organization registered as an internal medicine in Venice, Florida and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Lisa Lucas, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1497453450
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameARCHWELL HEALTH MEDICAL OF FLORIDA, LLC
Location Address543 TAMIAMI TRL SVenice, FL 34285-2927
Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (888) 987-1151 · Fax (615) 833-8225
Phone(941) 837-8002
Fax(615) 682-6207
Organization SubpartNo
Authorized OfficialLisa LucasChief Administrative Officer · (615) 419-9047
Enumeration DateFebruary 20, 2023
Last NPPES UpdateJune 19, 20233 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1497453450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
543 TAMIAMI TRL S, Venice, FL 34285
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Archwell Health Medical Of Florida, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to Archwell Health Medical Of Florida, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Family Practice22
Nurse Practitioner19
Internal Medicine18
Cardiovascular Disease (Cardiology)8
Cardiac Electrophysiology1

Nearest to this location (20)

See all 68
John Schloff, M.D
Family Practice
NPI 1124026992
543 TAMIAMI TRL S
Venice, FL 34285
(941) 837-8002
✔ PECOS✔ Accepts MedicareSame address
Farida Vildanova, APRN
Nurse Practitioner
NPI 1720866650
543 TAMIAMI TRL S
Venice, FL 34285
(941) 837-8002
✔ PECOS✔ Accepts MedicareSame address
Olga Belder, DO
Family Practice
NPI 1225072515
543 TAMIAMI TRL S
Venice, FL 34285
(941) 837-8002
✔ PECOS0.1 mi
Dennis Charette, MD
Family Practice
NPI 1396731170
543 TAMIAMI TRL S
Venice, FL 34285
(941) 837-8002
✔ PECOS0.1 mi
German Gorrita
Nurse Practitioner
NPI 1427697697
543 TAMIAMI TRL S
Venice, FL 34285
(941) 837-8002
✔ PECOS0.1 mi
Ira Azneer, DO
Internal Medicine
NPI 1750389045
3506 CLARK RD
Sarasota, FL 34231
(941) 299-0114
✔ PECOS✔ Accepts Medicare13 mi
Gary Frumkin, M.D.
Family Practice
NPI 1376587626
3506 CLARK RD
Sarasota, FL 34231
(941) 299-0114
✔ PECOS✔ Accepts Medicare13 mi
Kenneth Giacobbo, D.O.
Internal Medicine
NPI 1689618639
3506 CLARK RD
Sarasota, FL 34231
(941) 299-0114
✔ PECOS13 mi
Yelenis Fuertes Yanes
Internal Medicine
NPI 1174059406
6832 14TH ST W UNIT 3
Bradenton, FL 34207
(941) 297-2022
✔ PECOS24 mi
Anna Ibragimova, ANP
Nurse Practitioner
NPI 1881090470
6832 14TH ST W UNIT 3
Bradenton, FL 34207
(941) 297-2022
✔ PECOS✔ Accepts Medicare24 mi
Milena Munoz Rodriguez, MD
Internal Medicine
NPI 1003313214
6832 14TH ST W UNIT 3
Bradenton, FL 34207
(941) 297-2022
✔ PECOS✔ Accepts Medicare24 mi
Brian Ohalloran, D.O.
Family Practice
NPI 1427085687
4265 TAMIAMI TRL
Port Charlotte, FL 33980
(941) 420-8414
✔ PECOS✔ Accepts Medicare24 mi
Ruth Davis, APRN
Nurse Practitioner
NPI 1760580229
6022 14TH ST W
Bradenton, FL 34207
(941) 216-4601
✔ PECOS25 mi
Cecilia Carag, M.D.
Family Practice
NPI 1174708481
4430 14TH ST W
Bradenton, FL 34207
(941) 297-2123
✔ PECOS✔ Accepts Medicare27 mi
Elizabeth Goman, MD
Internal Medicine
NPI 1114952744
4430 14TH ST W
Bradenton, FL 34207
(941) 297-2123
✔ PECOS27 mi
Roger Harcourt, M.D.
Internal Medicine
NPI 1831300532
4430 14TH ST W
Bradenton, FL 34207
(941) 297-2123
✔ PECOS✔ Accepts Medicare27 mi
Julia Havlovic, MD
Family Practice
NPI 1538329628
4430 14TH ST W
Bradenton, FL 34207
(941) 297-2123
✔ PECOS27 mi
Stacy Sauer, APRN
Nurse Practitioner
NPI 1023251352
6363 MANATEE AVE W
Bradenton, FL 34209
(941) 297-2931
✔ PECOS30 mi
Abdelnasser Elmansoury, MD PA
Cardiovascular Disease (Cardiology)
NPI 1639117252
13411 PARKER COMMONS BLVD STE 101
Fort Myers, FL 33912
(239) 415-4900
✔ PECOS54 mi
Iosif Kelesidis, MD, MSC
Cardiac Electrophysiology
NPI 1013154111
2477 BRUCE B DOWNS BLVD
Wesley Chapel, FL 33544
(813) 788-1400
✔ PECOS79 mi
See all 68 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2283110

Archwell Health Medical Of Florida, LLC Dba Archwell Health-Venice · Venice, FL
Active · expires May 31, 2027
CLIA Number10D2283110
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorDonald J. Goddard
Laboratory Phone(941) 837-8002
Laboratory LocationArchwell Health Medical Of Florida, LLC Dba Archwell Health-Venice543 Tamiami Trail S, Venice, FL 34285
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Archwell Health Medical Of Florida, LLC's NPI number?

The NPI number for Archwell Health Medical Of Florida, LLC is 1497453450. It was assigned to this organization in the NPPES registry on February 20, 2023.

Where is Archwell Health Medical Of Florida, LLC located?

Archwell Health Medical Of Florida, LLC is located at 543 Tamiami Trl S, Venice, FL 34285. The listed phone number is (941) 837-8002.

What is Archwell Health Medical Of Florida, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Archwell Health Medical Of Florida, LLC enrolled in Medicare?

Yes. Archwell Health Medical Of Florida, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Archwell Health Medical Of Florida, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 5 Medicare specialties reassign their Medicare billing to Archwell Health Medical Of Florida, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (22), Nurse Practitioner (19) and Internal Medicine (18). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Archwell Health Medical Of Florida, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2283110) is associated with this NPI, valid through May 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Archwell Health Medical Of Florida, LLC was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.