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Organization

COLLIER ANESTHESIA PAIN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE ISAACSON (MD)
(239) 939-7375
Entity
Organization

Contact information

Practice address
4035 EVANS AVE, SUITE 1, FORT MYERS, FL 33901-9308
(239) 939-7375
(239) 939-5105
Mailing address
PO BOX 638900, CINCINNATI, OH 45263-8900
(239) 939-7375
(239) 939-5105

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
94852
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/19/2006
Last updated
07/21/2022
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