R PAUL LICCINI MD LLC NPI 1174588594

NPI Information

R PAUL LICCINI MD LLC is an interventional cardiology internal medicine in Fort Myers, FL. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. R PAUL LICCINI MD LLC NPI is 1174588594. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12645 NEW BRITTANY BLVD
BLDG 15
FORT MYERS, FL
ZIP 33907-631
Phone: (239) 936-2220
Fax: (239) 936-2444

The provider's authorized official is R. Paul Liccini .
The authorized official title is Owner and has the following contact phone number (239) 936-2220.

The CLIA number assigned to this NPI record is 10D1011016 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 7/29/2010.

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:

Other Identifiers

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