R Paul Liccini Md Llc in Fort Myers - Interventional Cardiology

R Paul Liccini Md Llc - NPI 1174588594

R Paul Liccini Md Llc is a Interventional Cardiology in Fort Myers, Florida. R Paul Liccini Md Llc practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for R Paul Liccini Md Llc is 1174588594. The last update date is 2010-07-29.

R Paul Liccini Md Llc's current location address is 12645 New Brittany Blvd, Fort Myers, Florida. You can contact this provider via phone number 2399362220 and fax number 2399362444. The mailing address for R Paul Liccini Md Llc is 12645 New Brittany Blvd, Fort Myers, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization R Paul Liccini Md Llc
Address 12645 New Brittany Blvd, Fort Myers, Florida
Phone Number 2399362220
Fax Number 2399362444
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Liccini R. Paul
Credentials M.D.
Telephone Number 2399362220

NPI Number Detail

NPI Number 1174588594
Provider Enumeration Date 2006-04-19
Last Updated Date 2010-07-29

Provider Mailing Address Detail

Address 12645 New Brittany Blvd
City Fort Myers
State Florida (FL)
Post Code 339073631
Phone Number 2399362220
Fax Number 2399362444

Provider's Primary Taxonomy Detail

Speciality Interventional Cardiology
Taxonomy 207Ri0011X
Definition:
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DG1282 FL RAIL ROAD MEDICARE

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FAQs about R Paul Liccini Md Llc

What is the R Paul Liccini Md Llc's 1174588594?

The R Paul Liccini Md Llc's NPI (National Provider Identifier) Number is 1174588594. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where R Paul Liccini Md Llc is geographically located?

The R Paul Liccini Md Llc is physically situated at the following location: 12645 New Brittany Blvd, Fort Myers, FL, 339073631.

What is R Paul Liccini Md Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The R Paul Liccini Md Llc's area of specialization is Interventional Cardiology, and the corresponding taxonomy code that categorizes this field of practice is 207Ri0011X.

When did R Paul Liccini Md Llc receive its 1174588594 assignment?

The R Paul Liccini Md Llc was assigned its 1174588594 on 2006-04-19, which is the date when this unique identifier was issued to the organization.

As of what date were the R Paul Liccini Md Llc's details last updated?

The information pertaining to the R Paul Liccini Md Llc, including its address, specialty, and other details, was most recently updated on 2010-07-29.

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