Individual
PATRICK SHIN MAENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12748 UNIVERSITY DR, FORT MYERS, FL 33907-5634
(239) 437-5500
(239) 437-5507
Mailing address
12748 UNIVERSITY DR, FORT MYERS, FL 33907-5634
(239) 437-5500
(239) 437-5507
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME110726
FL
2080P0214X
Pediatric Pulmonology Physician
Primary
110726
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003949600
—
FL
Enumeration date
06/19/2008
Last updated
04/17/2023
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