Individual
JUAN A DAMIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4048 EVANS AVE, SUITE 303, FT MYERS, FL 33901-9322
(239) 332-5344
(239) 332-7246
Mailing address
4048 EVANS AVE, SUITE 303, FT MYERS, FL 33901-9322
(239) 332-5344
(239) 332-7246
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0077195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050070534
MCR RR
FL
01
—
0867335
CIGNA
FL
05
—
258083700
—
FL
01
—
2613909
AETNA
FL
01
—
44703
BSFL
FL
Enumeration date
10/21/2005
Last updated
07/28/2008
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