Individual
DR. JAMES A. CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16261 BASS RD, SUITE 300, FORT MYERS, FL 33908
(239) 343-6410
(239) 343-6411
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6410
(239) 343-4014
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME50556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03755
BCBS
FL
05
—
046267500
—
FL
01
—
P00256570
MEDICARE RR
FL
Enumeration date
02/02/2006
Last updated
08/19/2020
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