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Organization
FT MYERS DIGESTIVE HEALTH AND PAIN ASC LLC
Active
Organization
FT MYERS DIGESTIVE HEALTH AND PAIN ASC LLC
Active
Other names
Center for Digestive Health and Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLIE A PAYNE (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
12700 CREEKSIDE LN, SUITE 202, FORT MYERS, FL 33919-3356
(239) 489-1660
(239) 489-2114
Mailing address
12700 CREEKSIDE LN, SUITE 202, FORT MYERS, FL 33919-3356
(239) 489-1660
(239) 489-2114
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0751839-00
—
FL
Enumeration date
02/09/2006
Last updated
05/06/2009
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