Individual
DR. LOUIS THOMAS MAGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6311 SOUTH POINTE BLVD, FORT MYERS, FL 33919-4901
(239) 938-3565
Mailing address
8791 CONFERENCE DR, SUITE 1, FORT MYERS, FL 33919-5822
(239) 938-3500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME101361
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000120500
—
FL
01
—
52068
BC BS OF FLORIDA
FL
01
—
P00652412
RR MCR
FL
01
—
P00652432
RR MCR
FL
Enumeration date
06/13/2007
Last updated
04/09/2014
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