Organization · Type 2 NPI

Paradise Coast Pavilion, LLC

Vascular Surgery Physician · Fort Myers, FL

NPI number 1598916611 Active

Practice location

9400 Gladiolus Dr, Suite 105
Fort Myers, FL 33908-6699

Call (239) 454-4800 Map

Mailing address

447 N Belair Rd Ste 103
Evans, GA 30809-3091

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000XME23742 (FL)
Vascular Surgery Physician Primary 2086S0129XME102815 (FL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

20 other providers at this address

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About NPI 1598916611

Paradise Coast Pavilion, LLC's National Provider Identifier is 1598916611, issued on Oct 7, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Fort Myers, FL. The record was last updated on Oct 7, 2008.