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Organization

FT MYERS PHYSICIAN PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANA GERALD KILLAM M.D. (PRESIDENT)
(239) 333-0084
Entity
Organization

Contact information

Practice address
2721 DEL PRADO BLVD S, SUITE 240, CAPE CORAL, FL 33904-5781
(239) 333-0084
(239) 333-0086
Mailing address
2721 DEL PRADO BLVD S, SUITE 240, CAPE CORAL, FL 33904-5781
(239) 333-0084
(239) 333-0086

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME36712
FL

Other

Enumeration date
01/10/2007
Last updated
04/20/2008
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