Individual
MARIE C FIDANLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5034 CORONADO PKWY, NAPLES, FL 34116-6950
(239) 455-5105
Mailing address
5034 CORONADO PKWY, NAPLES, FL 34116-6950
(239) 455-5105
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME74187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253503300
—
FL
Enumeration date
09/26/2006
Last updated
07/08/2007
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