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Individual

RAYMUNDO IDEA CAPARROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13340 METRO PKWY STE 400, FORT MYERS, FL 33966-4818
(239) 343-0550
(239) 343-4013
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-0550
(239) 343-4013

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D41284
MD
207RP1001X
Pulmonary Disease Physician
D41284
MD
207RP1001X
Pulmonary Disease Physician
Primary
ME115944
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0141244500
FL
01
3340 0002
CAREFIRST
DC
05
462971000 646931100
MD
01
CE8614 290009337
RAILROAD MEDICARE
GA
01
KA95MA 52562003
CAREFIRST
MD
Enumeration date
11/10/2005
Last updated
12/04/2024
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