William J Provance in North Fort Myers - Gastroenterology
William J Provance - NPI 1174517403
William J Provance is a Gastroenterology in North Fort Myers, Florida. William J Provance practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for William J Provance is 1174517403. The last update date is 2014-09-04.
William J Provance's current location address is 3434 Hancock Bridge Pkwy, North Fort Myers, Florida. You can contact this provider via phone number 8778563774 and fax number 2395992625. The mailing address for William J Provance is 3434 Hancock Bridge Pkwy, North Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William J Provance |
|---|---|
| Address | 3434 Hancock Bridge Pkwy, North Fort Myers, Florida |
| Phone Number | 8778563774 |
| Fax Number | 2395992625 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1174517403 |
|---|---|
| Provider Enumeration Date | 2005-09-01 |
| Last Updated Date | 2014-09-04 |
Provider Mailing Address Detail
| Address | 3434 Hancock Bridge Pkwy |
|---|---|
| City | North Fort Myers |
| State | Florida (FL) |
| Post Code | 339037094 |
| Phone Number | 8778563774 |
| Fax Number | 2395992625 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | OS12406 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00252222 | PA | PALMETTOGBA | |
| 13977160006 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to William J Provance by the Centers for Medicare & Medicaid Services?
The William J Provance has been assigned the NPI (National Provider Identifier) 1174517403. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where William J Provance is located?
The William J Provance is situated at the following address: 3434 Hancock Bridge Pkwy, North Fort Myers, FL, 339037094.
What is William J Provance's area of expertise and its corresponding taxonomy classification?
The William J Provance's field of specialization is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their areas of practice.
On what date did the William J Provance receive the assignment of its 1174517403 from the Centers for Medicare & Medicaid Services?
The William J Provance was issued its 1174517403 by the Centers for Medicare & Medicaid Services on 2005-09-01.
As of what date were the details pertaining to William J Provance last refreshed?
The information related to the William J Provance, including its address, specialty, and other relevant details, was last updated on 2014-09-04.