Individual
MICHAEL LACORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16281 BASS RD STE 304, FORT MYERS, FL 33908-9687
(239) 343-7490
(239) 343-5032
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7490
(239) 343-5032
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME111609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00203934
—
NY
05
—
004367100
—
FL
Enumeration date
09/13/2006
Last updated
03/29/2021
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