Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1508845447
Anatomic Pathology & Clinical Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1620, Medical Lane, Fort Myers, Lee County, Florida, 33907, United States
SUITE 100
FT MYERS, FL 339071143
Phone: (239) 939-2305
Fax: (239) 939-0947
Type: Location
14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
SUITE 400
ADDISON, TX 750013614
Phone: (214) 932-8029
Fax: (610) 271-4245
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33907)
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