# COLLIER ANESTHESIA PAIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306899349
- **Authorized official:** WAYNE ISAACSON (MD)
- **Authorized official phone:** (239) 939-7375

## Contact information

- **Practice address:** 4035 EVANS AVE, SUITE 1, FORT MYERS, FL 33901-9308
- **Practice address phone:** (239) 939-7375
- **Practice address fax:** (239) 939-5105
- **Mailing address:** PO BOX 638900, CINCINNATI, OH 45263-8900
- **Mailing address phone:** (239) 939-7375
- **Mailing address fax:** (239) 939-5105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | FL | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 07/21/2022
