Healthcare Provider Details

I. General information

NPI: 1699976993
Provider Name (Legal Business Name): THINN HLAING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8960 COLONIAL CENTER DR SUITE 302
FORT MYERS FL
33905-7810
US

IV. Provider business mailing address

PO BOX 2147
FORT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-9700
  • Fax: 239-343-9699
Mailing address:
  • Phone: 239-343-9700
  • Fax: 239-343-9699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number253420
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME 100136
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: