Individual
TOMMY MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2052
(239) 343-5348
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9567
(239) 343-9571
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME166437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122031300
—
FL
Enumeration date
03/26/2021
Last updated
09/05/2024
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