Basic Information
| Provider Information | |||||||||
| NPI: | 1861844342 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ACHILLES KALNOKY, MD PA | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | GULF GATE FAMILY MEDICINE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6981 CURTISS AVE | ||||||||
| Address2: | SUITE 4 | ||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342318100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9419210986 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7250 BENEVA RD | ||||||||
| Address2: | |||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342382806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9419210986 | ||||||||
| FaxNumber: | 9419210989 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2016 | ||||||||
| LastUpdateDate: | 11/29/2021 | ||||||||
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| AuthorizedOfficialLastName: | KALNOKY | ||||||||
| AuthorizedOfficialFirstName: | ACHILLES | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9419210986 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 11/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | ME115088 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.