MEDICARE: DR. MICHAEL A JAINDL MD

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	207Y00000X	Otolaryngology Physician	ME 108882	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

General Provider Information

NPI Number	:	1700860889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A JAINDL MD

Provider Business Mailing Address
First Line	:	1530 LEE BLVD STE 2350
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-4851
Country	:	US
Telephone Number	:	239-674-7345
Fax Number	:	239-674-2347

Provider Business Practice Location Address
First Line	:	1530 LEE BLVD STE 2350
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-4851
Country	:	US
Telephone Number	:	239-674-7345
Fax Number	:	239-491-2347

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

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	06/22/2011

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