HEALTHWISE MEDICAL PRACTICE LLC NPI 1821573684

NPI Information

NPI: 1821573684
Provider Name: HEALTHWISE MEDICAL PRACTICE LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1415 COLONIAL BLVD
FORT MYERS, FL
ZIP 33907
Phone: (239) 202-4517
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HEALTHWISE MEDICAL PRACTICE LLC is a general practice in Fort Myers, FL. HEALTHWISE MEDICAL PRACTICE LLC NPI is 1821573684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1415 COLONIAL BLVD
FORT MYERS, FL
ZIP 33907-043
Phone: (239) 202-4517

The provider's authorized official is Jessie Martin .
The authorized official title is Physician and has the following contact phone number (646) 267-6718.

The enumeration date for this NPI number is 9/27/2018 and was last updated on 9/27/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

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

NPI Synchronization or Removal

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