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Organization
INTERNAL MEDICINE ASSOCIATES OF LEE COUNTY MD PA
Active
Organization
INTERNAL MEDICINE ASSOCIATES OF LEE COUNTY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL COLLIER MD (MANAGING PARTNER)
(239) 931-3440
Entity
Organization
Contact information
Practice address
13813 METRO PKWY, FORT MYERS, FL 33912
(239) 936-1343
(239) 936-8507
Mailing address
PO BOX 62707, FORT MYERS, FL 33906-2707
(239) 931-3440
(239) 931-3458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME53617
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370179400
—
FL
01
—
77191
FLORIDA BLUE
FL
Enumeration date
04/05/2006
Last updated
08/31/2016
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