MEDICARE: ELAINE M FOURNIER P.A.

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
1	363AS0400X	Surgical Physician Assistant	PA9100674	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1427024579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE M FOURNIER P.A.

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-424-1400
Fax Number	:	239-424-1421

Provider Business Practice Location Address
First Line	:	2780 CLEVELAND AVE
Second Line	:	SUITE 819
City	:	FORT MYERS
State	:	FL
Zip	:	33901-5858
Country	:	US
Telephone Number	:	239-343-3800
Fax Number	:	239-343-3993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	04/08/2016

Similar Medicare Providers

1134118060 — ANDREW MIKULASCHEK MD
Practice Location Address:

2780 CLEVELAND AVE , SUITE 702
FORT MYERS, FL
33901-5858

Practice Phone: 239-332-6474
Practice Fax:

1346230653 — STEPHANIE A LAGE PA-C
Practice Location Address:

2780 CLEVELAND AVE , SUITE 819
FORT MYERS, FL
33901-5858

Practice Phone: 239-343-3800
Practice Fax: 239-343-3993

1093797888 — ARTHUR WILLIAM MORROW D.O.
Practice Location Address:

2780 CLEVELAND AVE , STE 709
FORT MYERS, FL
33901-5858

Practice Phone: --
Practice Fax:

1740256031 — DR. BIJAN J BAKHTIAN M.D.
Practice Location Address:

2780 CLEVELAND AVE , SUITE 819
FORT MYERS, FL
33901-5858

Practice Phone: 239-336-6800
Practice Fax: 239-336-6993

1689623704 — DR. ELIZABETH M EFTHIMIOU MD
Practice Location Address:

2780 CLEVELAND AVE
FORT MYERS, FL
33901-5858

Practice Phone: 239-343-2686
Practice Fax: 239-343-3144

1619994068 — MRS. MINDY M BRYDE PA
Practice Location Address:

2780 CLEVELAND AVE , SUITE 819
FORT MYERS, FL
33901-5858

Practice Phone: 239-343-3800
Practice Fax: 239-343-3993

Directions to “ ELAINE M FOURNIER P.A.” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.