Individual
KEVIN ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
(239) 343-3292
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3292
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS10704
FL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
OS10704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002006300
—
FL
Enumeration date
01/04/2006
Last updated
11/25/2022
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