MEDICARE: EMILY DAY PA

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	363A00000X	Physician Assistant	001762	CT
2	363A00000X	Physician Assistant	PA9105970	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	RV750	OTHER	FL	MEDICARE HF
8	P01380565	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P954088	OTHER	FL	OPTIMUM
3	MA053876	OTHER	PA	COMMONWEALTH OF PENNSYLVANIA
4	Y08HB	OTHER	FL	BCBS OF FL
5	001762	OTHER	CT	CT LICENSE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	398580	OTHER	FL	AVMED
9	P1005211	OTHER	FL	FREEDOM
10	1249030	OTHER	FL	WELLCARE
11	9378535	OTHER	FL	AETNA
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891985669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY DAY PA

Provider Business Mailing Address
First Line	:	2234 COLONIAL BLVD
Second Line	:	ATTN: PAYER CONTRACTING & RELATIONS
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	:	7335 GLADIOLUS DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-5101
Country	:	US
Telephone Number	:	239-985-1925
Fax Number	:	239-321-6044

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

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	10/30/2023

Similar Medicare Providers

1336133792 — DR. MICHAEL BRUCE WARTELS MD
Practice Location Address:

7331 GLADIOLUS DR
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33908-5101

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1760457956 — JONATHAN F. ESCHEDOR ARNP
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1194766675 — WILLIAM PATRICK CALLAHAN PA-C
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7335 GLADIOLUS DR
FORT MYERS, FL
33908-5101

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Practice Fax: 239-321-6044

1467470054 — STEPHEN E HANNAN M.D.
Practice Location Address:

7335 GLADIOLUS DR
FORT MYERS, FL
33908-5101

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Practice Fax: 239-321-6044

1619043700 — MAY LYNNE FOO M.D
Practice Location Address:

7341 GLADIOLUS DR
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33908-5101

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1104052299 — MRS. MARIA MONTANARO PA-C
Practice Location Address:

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Directions to “ EMILY DAY PA” Practice Location

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