Individual
DR. NILIMA A. PATWARDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8931 COLONIAL CENTER DR, FORT MYERS, FL 33905-7809
(239) 277-0479
(239) 277-0729
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTINS & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
38349
MA
208600000X
Surgery Physician
Primary
ME112029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004879700
—
FL
01
—
14K5X
BCBS FL
FL
01
—
354734
AVMED
FL
01
—
4317187
CIGNA
FL
01
—
4484632
AETNA
FL
01
—
P01046430
RAILROAD MCR
FL
01
—
P940525
OPTIMUM
FL
01
—
P999460
FREEDOM
FL
Enumeration date
09/20/2008
Last updated
10/08/2012
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