Organization
MANUEL A. PARDO, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL A PARDO M.D. (OWNER)
(239) 728-3500
Entity
Organization
Contact information
Practice address
42 BARKLEY CIR, SUITE # 2, FORT MYERS, FL 33907-4543
(239) 728-3500
Mailing address
42 BARKLEY CIR, SUITE # 2, FORT MYERS, FL 33907-4543
(239) 728-3500
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420662-00
—
FL
01
—
08428
BLUE CROSS/BLUE SHIELD
—
Enumeration date
02/13/2015
Last updated
02/13/2015
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