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Individual

DR. JAMES J. O'MAILIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1553 MATTHEW DR, FORT MYERS, FL 33907-1734
(239) 275-3695
(239) 275-5402
Mailing address
15000 SHELL POINT BLVD STE 100, FORT MYERS, FL 33908-1657
(239) 542-1464
(239) 454-2111

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME53585
FL
207RG0100X
Gastroenterology Physician
Primary
ME53585
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
48751100
FL
Enumeration date
07/07/2005
Last updated
04/09/2024
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