Individual
DR. PHILIP CHARLES STONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13340 METRO PKWY STE 400, FORT MYERS, FL 33966-4818
(239) 343-1105
(239) 343-1106
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1105
(239) 343-1106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO2763
ME
207RP1001X
Pulmonary Disease Physician
Primary
OS17982
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111435200
—
FL
Enumeration date
05/22/2014
Last updated
03/31/2022
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