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NPI Code Detail

MEDICARE: JOSEPH PERMENTER RCIS

MEDICARE: JOSEPH PERMENTER RCIS
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
1246XC2901XCardiovascular Invasive Specialist/Technologist00061270FL

General Provider Information

NPI Number : 1649575945
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH PERMENTER RCIS
Provider Business Mailing Address
First Line : 8470 KINGBIRD LOOP
Second Line : UNIT 1013
City : FORT MYERS
State : FL
Zip : 33967-5769
Country : US
Telephone Number : 239-537-2958
Fax Number :
Provider Business Practice Location Address
First Line : 8470 KINGBIRD LOOP
Second Line : UNIT 1013
City : FORT MYERS
State : FL
Zip : 33967-5769
Country : US
Telephone Number : 239-537-2958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2011
Last Update Date : 01/18/2011

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