Individual
DR. WILLIAM J CARRACINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13340 METRO PARKWAY, SUITE 400, FORT MYERS, FL 33966
(239) 343-1290
(239) 343-4008
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1290
(239) 343-4008
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0069362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258413100
—
FL
Enumeration date
05/23/2005
Last updated
03/24/2021
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