Raymond Paul Liccini in Fort Myers - Nuclear Cardiology

Raymond Paul Liccini - NPI 1619969078

Raymond Paul Liccini is a Nuclear Cardiology in Fort Myers, Florida. Raymond Paul Liccini practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for Raymond Paul Liccini is 1619969078. The last update date is 2021-03-29.

Raymond Paul Liccini's current location address is Po Box 2147, Fort Myers, Florida. You can contact this provider via phone number 2393436410 and fax number 2393434014. The mailing address for Raymond Paul Liccini is Po Box 2147, Fort Myers, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Raymond Paul Liccini
Address Po Box 2147, Fort Myers, Florida
Phone Number 2393436410
Fax Number 2393434014
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1619969078
Provider Enumeration Date 2005-08-22
Last Updated Date 2021-03-29

Provider Mailing Address Detail

Address Po Box 2147
City Fort Myers
State Florida (FL)
Post Code 339022147
Phone Number 2393436410
Fax Number 2393434014

Provider's Primary Taxonomy Detail

Speciality Nuclear Cardiology
Taxonomy 207Un0901X
Licence No ME68201
Definition:
A nuclear medicine physician who specializes in nuclear cardiology.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60070568 FL MEDICARE RR
27065 FL BCBS
377898300 FL --
820580815 FL TAX ID

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FAQs about Raymond Paul Liccini

What is the unique identifier code issued to Raymond Paul Liccini by the Centers for Medicare & Medicaid Services (CMS)?

The Raymond Paul Liccini has been assigned the NPI (National Provider Identifier) 1619969078. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Raymond Paul Liccini is physically located?

The Raymond Paul Liccini is physically situated at the following address: Po Box 2147, Fort Myers, FL, 339022147.

What is Raymond Paul Liccini's area of expertise and its corresponding taxonomy classification?

The Raymond Paul Liccini's field of specialization is Nuclear Cardiology, and it falls under the taxonomy code 207Un0901X, which categorizes healthcare providers based on their areas of practice.

On what date did the Raymond Paul Liccini receive its 1619969078 assignment from the Centers for Medicare & Medicaid Services?

The Raymond Paul Liccini was assigned its 1619969078 by the Centers for Medicare & Medicaid Services on 2005-08-22.

As of what date was the information regarding Raymond Paul Liccini, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Raymond Paul Liccini, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-29.

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