Organization
FT MYERS DIGESTIVE HEALTH AND PAIN ASC LLC
Active
Other names
Center for Digestive Health and Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLIE A PAYNE (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
12700 CREEKSIDE LN, SUITE 202, FORT MYERS, FL 33919-3356
(239) 489-1660
(239) 489-2114
Mailing address
12700 CREEKSIDE LN, SUITE 202, FORT MYERS, FL 33919-3356
(239) 489-1660
(239) 489-2114
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0751839-00
—
FL
Enumeration date
02/09/2006
Last updated
05/06/2009
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