Healthcare Provider Details

I. General information

NPI: 1235150491
Provider Name (Legal Business Name): FRANK L RIMELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16230 SUMMERLIN RD STE 215
FORT MYERS FL
33908-5769
US

IV. Provider business mailing address

PO BOX 2147
FORT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-7474
  • Fax: 239-343-4190
Mailing address:
  • Phone: 239-343-7474
  • Fax: 239-343-4190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberG153276
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number33333
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME150710
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: