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General NPI Number Information
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NPI Number | 1851937593
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Entity Type | Organization
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Legal Business Name | ANESTHESIA PROVIDERS OF FORT MYERS
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 8380 RIVERWALK PARK BLVD STE 220
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City | FORT MYERS
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State | FL
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Zip | 33919-8758
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Country | US
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Telephone | 239-215-4104
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Fax |
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Provider Business Mailing Address
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Address Line | 13181 PONDEROSA WAY
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City | FORT MYERS
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State | FL
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Zip | 33907-7821
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DAVID M GUTSTEIN
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Credential | MD
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Telephone | 239-466-8838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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