Individual
EDISON PATRICIO VALLE-GILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2780 CLEVELAND AVE STE 819, FORT MYERS, FL 33901-5817
(239) 343-3800
(239) 343-3993
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3800
(239) 343-3993
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD.206068
LA
207T00000X
Neurological Surgery Physician
Primary
ME140187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102825500
—
FL
05
—
1885347
—
LA
01
—
FAKDA
BCBS
FL
Enumeration date
06/24/2013
Last updated
03/30/2021
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