Organization
ANESTHESIA & PAIN CONSULTANTS OF SW FL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HARLE JR. (ADMINISTRATOR)
(239) 939-2622
Entity
Organization
Contact information
Practice address
12511 WORLD PLAZA LN, BUILDING 50, FORT MYERS, FL 33907-3991
(239) 939-2622
(239) 939-0151
Mailing address
12511 WORLD PLAZA LN, BUILDING 50, FORT MYERS, FL 33907-3991
(239) 939-2622
(239) 939-0151
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0021827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059714700
—
FL
01
—
CM3923
RAILROAD MEDICARE
FL
Enumeration date
03/02/2006
Last updated
09/18/2013
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