Healthcare Provider Details

I. General information

NPI: 1285647552
Provider Name (Legal Business Name): ANTHONY SCOTT BATILL AU.D.,CCC-A
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 WINKLER AVENUE EXT
FORT MYERS FL
33916-9413
US

IV. Provider business mailing address

2530 SE 24TH PL
CAPE CORAL FL
33904-3314
US

V. Phone/Fax

Practice location:
  • Phone: 239-939-3939
  • Fax: 239-931-6136
Mailing address:
  • Phone: 239-574-1588
  • Fax: 239-931-6136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY818
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: