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NPI Code Detail

MEDICARE: GULF COAST CARDIOTHORACIC SURGEONS

MEDICARE: GULF COAST CARDIOTHORACIC SURGEONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275573131
Entity Type Code : Organization
Provider Name (Legal Business Name) : GULF COAST CARDIOTHORACIC SURGEONS
Provider Business Mailing Address
First Line : 8010 SUMMERLIN LAKES DR
Second Line : SUITE 100
City : FT MYERS
State : FL
Zip : 33907-1849
Country : US
Telephone Number : 239-939-1767
Fax Number :
Provider Business Practice Location Address
First Line : 8010 SUMMERLIN LAKES DR STE 100
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-1849
Country : US
Telephone Number : 239-939-1767
Fax Number : 239-939-5895
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. MICHAEL L NOVOTNEY
Credential : M.D.
Telephone Number : 239-939-1767
Provider Enumeration Date : 06/08/2006
Last Update Date : 05/13/2022

Similar Medicare Providers

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Practice Location Address:
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Practice Fax:
1922092709 — DR. ABRAHAM SADIGHI M.D.
Practice Location Address:
8010 SUMMERLIN LAKES DR STE 100
FORT MYERS, FL
33907-1849
Practice Phone: 239-939-1767
Practice Fax: 239-939-5895
1659365435 — DR. MICHAEL LEE NOVOTNEY M.D.
Practice Location Address:
8010 SUMMERLIN LAKES DR STE 100
FORT MYERS, FL
33907-1849
Practice Phone: 239-939-1767
Practice Fax: 239-939-5895
1568406593 — DR. MICHAEL P METKE M.D.
Practice Location Address:
8010 SUMMERLIN LAKES DR , SUITE 100
FT MYERS, FL
33907-1849
Practice Phone: 239-939-1767
Practice Fax: 239-939-5895
1053348300 — CRYSTAL WEAKS PA-C
Practice Location Address:
8010 SUMMERLIN LAKES DR , SUITE 100
FORT MYERS, FL
33907-1849
Practice Phone: 239-939-1767
Practice Fax: 239-939-5895
1568499937 — CARDIAC SURGICAL ASSOCIATES OF SOUTHWEST FLORIDA, M.D., P.A.
Practice Location Address:
8010 SUMMERLIN LAKES DR , SUITE 100
FORT MYERS, FL
33907-1849
Practice Phone: 239-939-1767
Practice Fax: 239-939-5895

Directions to “GULF COAST CARDIOTHORACIC SURGEONS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.