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

MS. Mary Brooke Calitri

Individual provider Physician Assistant · NPI 1457149221

MS. Mary Brooke Calitri is a Physician Assistant in Venice, Florida. Qualified in 2025, 1 year ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

1700 E Venice Ave
Venice, FL 34292-3190
Phone: (941) 483-9760
Fax: (941) 483-9775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 — (941) 766-4255

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120861 (FL)

Record details

NPI number1457149221
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2025
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Venice