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Individual

WAYNE ISAACSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12900 TERABELLA WAY, FORT MYERS, FL 33912-0915
(239) 940-6463
(239) 494-8283
Mailing address
12900 TERABELLA WAY, FORT MYERS, FL 33912-0915
(239) 940-6463
(239) 494-8283

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME71098
FL
208D00000X
General Practice Physician
ME71098
FL
208VP0000X
Pain Medicine Physician
Primary
ME71098
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253173900
FL
01
32138
BLUE CROSS BLUE SHIELD
Enumeration date
10/31/2005
Last updated
03/18/2026
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