Individual
DR. JOHN NICHOLAS MEHALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12670 CREEKSIDE LN, SUITE 202, FORT MYERS, FL 33919-3359
(239) 482-2663
(239) 482-7585
Mailing address
12670 CREEKSIDE LN, SUITE 202, FORT MYERS, FL 33919-3359
(239) 482-2663
(239) 482-7585
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME85385
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME85385
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972573632
CIGNA
FL
05
—
265839900
—
FL
Enumeration date
01/25/2006
Last updated
05/07/2025
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