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COLLIER ANESTHESIA PAIN LLC NPI 1306899349


NPI Information

NPI: 1306899349
Provider Name: COLLIER ANESTHESIA PAIN LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 10D1106683

Address:
4035 EVANS AVE
SUITE 1
FORT MYERS, FL
ZIP 33901
Phone: (239) 939-7375
Get Directions

COLLIER ANESTHESIA PAIN LLC is a pain medicine anesthesiology in Fort Myers, FL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. COLLIER ANESTHESIA PAIN LLC NPI is 1306899349. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4035 EVANS AVE
SUITE 1
FORT MYERS, FL
ZIP 33901-308
Phone: (239) 939-7375
Fax: (239) 939-5105

The provider's authorized official is Wayne Isaacson .
The authorized official title is Md and has the following contact phone number (239) 939-7375.

The CLIA number assigned to this NPI record is 10D1106683 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 6/20/2018.


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
1207LP2900XAnesthesiologyPain Medicine=========FLORIDAYes

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
194852OTHERFLORIDABLUE CROSS BLUE SHIELD

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: 11/14/2023

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