Organization
AMERIPATH HOSPITAL SERVICES-FLORIDA LLC
Active
Parent organization
AMERIPATH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC
Authorized official
DARREN THOMAS WHEELER MD (VICE PRESIDENT)
(702) 733-7866
Entity
Organization
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 275-1164
(239) 275-5212
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3661
(866) 697-8378
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0293549
CLIA
FL
Enumeration date
12/13/2023
Last updated
09/18/2024
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