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
Mailing address4125 S Tamiami Trl Ste 2, Venice, FL 34293-5121

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