Individual
DR. ALAN VICTOR OBREGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13813 METRO PKWY, FORT MYERS, FL 33912-4343
(239) 938-1717
(239) 985-9634
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23229
SC
207Q00000X
Family Medicine Physician
235653
NY
207Q00000X
Family Medicine Physician
Primary
ME95446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08239
BCBS
FL
01
—
11513660
CAQH
NY
05
—
279815800
—
FL
01
—
368AS1
EMPIRE BCBS
NY
Enumeration date
07/24/2006
Last updated
01/10/2024
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