Individual
PHILLIP CHARLES MOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23450 VIA COCONUT PT, ESTERO, FL 34135-1877
(239) 468-0154
(239) 343-4055
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 468-0154
(239) 343-4055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME135485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024882500
—
FL
Enumeration date
02/16/2013
Last updated
01/13/2022
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