Organization
JOINT IMPLANT SURGEONS OF FLORIDA PA
Active
Other names
Joint Implant Surgeons of Florida, PA
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD THOMAS HUMBERT DO (PRESIDENT)
(239) 337-2003
Entity
Organization
Contact information
Practice address
7331 COLLEGE PKWY, SUITE 300, FORT MYERS, FL 33907-5524
(239) 337-2003
(239) 337-3168
Mailing address
7331 COLLEGE PKWY, SUITE 300, FORT MYERS, FL 33907-5524
(239) 337-2003
(239) 337-3168
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0667439
AETNA
—
01
—
20188693
MEDICARE RAILROAD
FL
01
—
38222
BCBS
FL
Enumeration date
07/31/2006
Last updated
10/09/2019
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