MEDICARE: MAY LYNNE FOO 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
1	2085R0001X	Radiation Oncology Physician	ME0061886	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	113394	OTHER	FL	OPERATING ENG. PROVIDER #
2	317489	OTHER	FL	AMERIGROUP PROVIDER #
3	5291079	OTHER	FL	AETNA PROVIDER #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	3704799	OTHER	FL	CIGNA PROVIDER #

General Provider Information

NPI Number	:	1619043700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAY LYNNE FOO M.D

Provider Business Mailing Address
First Line	:	2234 COLONIAL BLVD
Second Line	:	MANAGED CARE DEPT.
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1412
Country	:	US
Telephone Number	:	239-931-7342
Fax Number	:	239-931-7385

Provider Business Practice Location Address
First Line	:	7341 GLADIOLUS DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-5101
Country	:	US
Telephone Number	:	239-489-3420
Fax Number	:	239-489-3219

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	03/29/2018

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Directions to “ MAY LYNNE FOO M.D” Practice Location

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