Southwest Florida Fertility Center Pa in Fort Myers - Reproductive Endocrinology
Southwest Florida Fertility Center Pa - NPI 1588749618
Southwest Florida Fertility Center Pa is a Reproductive Endocrinology in Fort Myers, Florida. Southwest Florida Fertility Center Pa practices all healthcare services and medical treatments related to Reproductive Endocrinology. The NPI Number for Southwest Florida Fertility Center Pa is 1588749618. The last update date is 2009-01-12.
Southwest Florida Fertility Center Pa's current location address is 15730 New Hampshire Ct, Fort Myers, Florida. You can contact this provider via phone number 2395613430 and fax number 2395616980. The mailing address for Southwest Florida Fertility Center Pa is 15730 New Hampshire Ct, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwest Florida Fertility Center Pa |
|---|---|
| Address | 15730 New Hampshire Ct, Fort Myers, Florida |
| Phone Number | 2395613430 |
| Fax Number | 2395616980 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Glock Leon Jacob |
| Credentials | MEDICAL DO |
| Telephone Number | 2395613430 |
NPI Number Detail
| NPI Number | 1588749618 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2009-01-12 |
Provider Mailing Address Detail
| Address | 15730 New Hampshire Ct |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 33908 |
| Phone Number | 2395613430 |
| Fax Number | 2395616980 |
Provider's Primary Taxonomy Detail
| Speciality | Reproductive Endocrinology |
|---|---|
| Taxonomy | 207Ve0102X |
| Licence No | ME0057264 |
|
Definition: An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ME0057264 | FL | FLORIDA STATE LICENSE | |
| 379285400 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Southwest Florida Fertility Center Pa?
The Southwest Florida Fertility Center Pa has been issued the NPI (National Provider Identifier) 1588749618 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Southwest Florida Fertility Center Pa's physical address?
The Southwest Florida Fertility Center Pa is physically located at 15730 New Hampshire Ct, in the city of Fort Myers, FL, with the postal code 33908.
What is Southwest Florida Fertility Center Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Southwest Florida Fertility Center Pa is Reproductive Endocrinology, and the corresponding taxonomy classification code for this specialized field is 207Ve0102X.
On what date did the Southwest Florida Fertility Center Pa receive its 1588749618 assignment from the Centers for Medicare & Medicaid Services?
The Southwest Florida Fertility Center Pa was assigned its 1588749618 by the Centers for Medicare & Medicaid Services on 2006-10-26.
As of what date was the information regarding Southwest Florida Fertility Center Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Southwest Florida Fertility Center Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-01-12.