Fred Jean is a Psychiatry in Fort Myers, Florida. Fred Jean practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Fred Jean is 1972605558. The last update date is 2012-03-02.
Fred Jean's current location address is 2789 Ortiz Ave, Fort Myers, Florida. You can contact this provider via phone number 2392753222 and fax number 2392789058. The mailing address for Fred Jean is 2789 Ortiz Ave, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Jean |
|---|---|
| Address | 2789 Ortiz Ave, Fort Myers, Florida |
| Phone Number | 2392753222 |
| Fax Number | 2392789058 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1972605558 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2012-03-02 |
Provider Mailing Address Detail
| Address | 2789 Ortiz Ave |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339057806 |
| Phone Number | 2392753222 |
| Fax Number | 2392789058 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | ME0054921 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37420200 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Fred Jean by the Centers for Medicare & Medicaid Services?
The Fred Jean has been assigned the NPI (National Provider Identifier) 1972605558 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Fred Jean's physical address?
The Fred Jean is physically located at 2789 Ortiz Ave, in the city of Fort Myers, FL, with the postal code 339057806.
What is Fred Jean's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Fred Jean is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
When did Fred Jean receive its 1972605558 assignment?
The Fred Jean was assigned its 1972605558 on 2006-09-02, which is the date when this unique identifier was issued to the organization.
When was the information regarding Fred Jean, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fred Jean, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-03-02.