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NPI Code Detail

MEDICARE: DR. LLOYD SIJERA JAVIER M.D.

MEDICARE: DR. LLOYD SIJERA JAVIER M.D.
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
1207Q00000XFamily Medicine PhysicianME166226FL
2207Q00000XFamily Medicine Physician01070681AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000775560OTHERANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558503680
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LLOYD SIJERA JAVIER M.D.
Provider Business Mailing Address
First Line : 2675 WINKLER AVE FL 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 877-856-3774
Fax Number :
Provider Business Practice Location Address
First Line : 13214 PALM BEACH BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-2025
Country : US
Telephone Number : 239-694-7887
Fax Number : 239-694-8941
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2009
Last Update Date : 07/29/2024

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