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FORT MYERS INTERNAL MEDICINE LLC NPI 1346588621


NPI Information

NPI: 1346588621
Provider Name: FORT MYERS INTERNAL MEDICINE LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D2053160

Address:
13861 PLANTATION RD UNIT 104
FT MYERS, FL
ZIP 33912
Phone: (239) 225-1306
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FORT MYERS INTERNAL MEDICINE LLC is an internal medicine in Ft Myers, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FORT MYERS INTERNAL MEDICINE LLC NPI is 1346588621. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13861 PLANTATION RD UNIT 104
FT MYERS, FL
ZIP 33912
Phone: (239) 225-1306
Fax: (239) 768-1313

The provider's authorized official is Robert Haddad .
The authorized official title is Owner and has the following contact phone number (239) 225-1306.

The CLIA number assigned to this NPI record is 10D2053160 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2013 and was last updated on 3/17/2018.


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
1207R00000XInternal MedicineME106006FLORIDAYes

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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