Individual
CALLIE HARTLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13685 DOCTORS WAY STE 350, FORT MYERS, FL 33912-4347
(239) 343-1000
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3800
(239) 343-3993
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28265266C
IN
363L00000X
Nurse Practitioner
11042242
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11042242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128480000
—
FL
Enumeration date
08/22/2025
Last updated
10/15/2025
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