Individual
ERIC ALLEN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16230 SUMMERLIN RD STE 215, FORT MYERS, FL 33908-5769
(239) 343-7474
(239) 343-4185
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7474
(239) 343-4185
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
OS19040
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114724100
—
FL
Enumeration date
04/29/2016
Last updated
08/05/2022
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