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LEE COUNTY TRAUMA SERVICES DISTRICT NPI 1639226608


NPI Information

NPI: 1639226608
Provider Name: LEE COUNTY TRAUMA SERVICES DISTRICT
Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

Address:
13681 DOCTORS WAY
FORT MYERS, FL
ZIP 33912
Phone: (239) 343-3474
Get Directions

LEE COUNTY TRAUMA SERVICES DISTRICT is a trauma surgery surgery in Fort Myers, FL. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. LEE COUNTY TRAUMA SERVICES DISTRICT NPI is 1639226608. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13681 DOCTORS WAY
FORT MYERS, FL
ZIP 33912-300
Phone: (239) 343-3474
Fax: (239) 343-2968

The provider's authorized official is Larry Antonucci .
The authorized official title is President,ceo and has the following contact phone number (239) 343-6537.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 1/12/2022.


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
12086S0127XSurgeryTrauma SurgeryYes

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
1268529900MEDICAIDFLORIDA

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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