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MILESTONES WELLNESS CENTERS NPI 1730638842


NPI Information

NPI: 1730638842
Provider Name: MILESTONES WELLNESS CENTERS
Classification: Anesthesiology - 207LA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
3900 BROADWAY
STE 7
FORT MYERS, FL
ZIP 33901
Phone: (239) 931-0907
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MILESTONES WELLNESS CENTERS is an addiction medicine anesthesiology in Fort Myers, FL. The provider is an anesthesiologist who specializes in the diagnosis and treatment of addictions. MILESTONES WELLNESS CENTERS NPI is 1730638842. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3900 BROADWAY
STE 7
FORT MYERS, FL
ZIP 33901-193
Phone: (239) 931-0907
Fax: (239) 309-0330

The provider's authorized official is Louis Kovacs .
The authorized official title is Chief Medical Officer and has the following contact phone number (239) 931-0907.

The enumeration date for this NPI number is 9/30/2016 and was last updated on 9/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LA0401XAnesthesiologyAddiction MedicineOS1417FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BUS2016-00728OTHERFLORIDAFLORIDA TAX PERMIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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