Organization
JACK LOMANO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK M LOMANO MD (PHYSICIAN)
(239) 470-8809
Entity
Organization
Contact information
Practice address
15644 CALOOSA CREEK CIR, FORT MYERS, FL 33908-6736
(239) 470-8809
(239) 236-3900
Mailing address
15644 CALOOSA CREEK CIR, FORT MYERS, FL 33908-6736
(239) 470-8809
(239) 236-3900
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME33323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME33323
FLORIDA MEDICAL LICENSE
FL
Enumeration date
12/24/2015
Last updated
12/24/2015
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