Organization
ASSOCIATES IN NEONATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEOGRACIAS L. CAANGAY M.D. (PRESIDENT)
(239) 343-6906
Entity
Organization
Contact information
Practice address
9981 S HEALTHPARK DR, SUITE 281, FORT MYERS, FL 33908-3618
(239) 343-6906
(239) 343-6915
Mailing address
9981 S HEALTHPARK DR, SUITE 281, FORT MYERS, FL 33908-3618
(239) 343-6906
(239) 343-6915
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054262800
—
FL
05
—
054262802
—
FL
01
—
97376
BLUE CROSS GROUP NUMBER
FL
Enumeration date
01/23/2006
Last updated
09/19/2008
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