MEDICARE: ANDREW J OAKES-LOTTRIDGE M.D.

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	207Q00000X	Family Medicine Physician	ME88414	FL

General Provider Information

NPI Number	:	1003877259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW J OAKES-LOTTRIDGE M.D.

Provider Business Mailing Address
First Line	:	1315 FLORIDA AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901
Country	:	US
Telephone Number	:	239-694-6246
Fax Number	:	239-344-3333

Provider Business Practice Location Address
First Line	:	1315 FLORIDA AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-7707
Country	:	US
Telephone Number	:	239-694-6246
Fax Number	:	239-344-3333

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	05/18/2011

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