Provider Demographics
NPI:1861844342
Name:ACHILLES KALNOKY, MD PA
Entity Type:Organization
Organization Name:ACHILLES KALNOKY, MD PA
Other - Org Name:GULF GATE FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ACHILLES
Authorized Official - Middle Name:
Authorized Official - Last Name:KALNOKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-921-0986
Mailing Address - Street 1:6981 CURTISS AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8100
Mailing Address - Country:US
Mailing Address - Phone:941-921-0986
Mailing Address - Fax:
Practice Address - Street 1:7250 BENEVA RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-2806
Practice Address - Country:US
Practice Address - Phone:941-921-0986
Practice Address - Fax:941-921-0989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME115088208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty