Individual
PEDRO LUIS LLERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2052
(239) 343-5548
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.128927
IL
207Q00000X
Family Medicine Physician
ME111789
FL
208M00000X
Hospitalist Physician
Primary
ME111789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006490300
—
FL
Enumeration date
08/25/2009
Last updated
03/29/2021
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