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Individual

MR. SHION ANTONIO BETTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
(239) 424-2602
(239) 343-1009
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2602
(239) 343-1009

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD474627
PA
207R00000X
Internal Medicine Physician
ME177697
FL
208M00000X
Hospitalist Physician
MD474627
PA
208M00000X
Hospitalist Physician
Primary
ME177697
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129832700
FL
Enumeration date
05/02/2018
Last updated
03/06/2026
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