MEDICARE: RICHARD LEWIS FOX 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	207V00000X	Obstetrics & Gynecology Physician	ME-8521	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME-8521	OTHER	FL	MEDICAL LICENCE

General Provider Information

NPI Number	:	1922566165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD LEWIS FOX MD

Provider Business Mailing Address
First Line	:	14611 SAFE LANDING CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-4932
Country	:	US
Telephone Number	:	239-437-1653
Fax Number	:

Provider Business Practice Location Address
First Line	:	14611 SAFE LANDING CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-4932
Country	:	US
Telephone Number	:	239-437-1653
Fax Number	:

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

Provider Enumeration Date	:	03/06/2019
Last Update Date	:	03/06/2019

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Directions to “ RICHARD LEWIS FOX MD” Practice Location

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