Individual
JOHN W MINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8851 BOARDROOM CIRCLE, FT MYERS, FL 33919-4888
(239) 481-7000
(239) 481-5180
Mailing address
8851 BOARDROOM CIRCLE, FT MYERS, FL 33919-4888
(239) 481-7000
(239) 481-5180
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065630001
MEDICARE DME
FL
01
—
480000496A
RAILROAD MEDICARE
FL
Enumeration date
11/30/2005
Last updated
03/13/2017
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