Individual
GARY SHIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.R.N.P.
Contact information
Practice address
9470 HEALTHPARK CIR, FORT MYERS, FL 33908-3600
(239) 482-4673
(239) 482-7298
Mailing address
9470 HEALTHPARK CIR, FORT MYERS, FL 33908-3600
(239) 482-4673
(239) 482-7298
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARP1955972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087535000
—
FL
Enumeration date
01/23/2006
Last updated
04/25/2008
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