MEDICARE: DR. CECILIA MINANO M.D., M.P.H.

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	207RG0100X	Gastroenterology Physician	247086	NY
2	207RG0100X	Gastroenterology Physician	ME178366	FL
3	207RG0100X	Gastroenterology Physician	25MA09966700	NJ

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	:	1841498714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CECILIA MINANO M.D., M.P.H.

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-6202
Fax Number	:	239-343-4159

Provider Business Practice Location Address
First Line	:	9800 S HEALTHPARK DR STE 110
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3630
Country	:	US
Telephone Number	:	239-343-6202
Fax Number	:	239-343-4159

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	04/09/2026

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Directions to “ DR. CECILIA MINANO M.D., M.P.H.” Practice Location

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