Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric Gancedo

Individual provider Family Nurse Practitioner · NPI 1588037253

Eric Gancedo is a Nurse Practitioner in Venice, Florida. Qualified in 2015, 11 years ago. Practices with Nokomis Physical Therapy LLC, a 102-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
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Practice location Address checks out

4125 S Tamiami Trl Ste 2
Venice, FL 34293-5121
Phone: (941) 584-9201
Fax: (941) 584-9202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP9383141 (FL)

Record details

NPI number1588037253
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 3, 2015
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Nokomis Physical Therapy Llc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Venice