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NPI Code Detail

MEDICARE: DANIEL BENDETOWICZ, M.D., P.A.

MEDICARE: DANIEL BENDETOWICZ, M.D., P.A.
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
1207R00000XInternal Medicine PhysicianME75758FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DB9873OTHERFLRAILROAD PROVIDER NUMBER

General Provider Information

NPI Number : 1174645717
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANIEL BENDETOWICZ, M.D., P.A.
Provider Business Mailing Address
First Line : 6840 INTERNATIONAL CENTER BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-7161
Country : US
Telephone Number : 239-985-1050
Fax Number : 239-985-1060
Provider Business Practice Location Address
First Line : 6840 INTERNATIONAL CENTER BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-7161
Country : US
Telephone Number : 239-985-1050
Fax Number : 239-985-1060
Authorized Official
Title or Position : PRESIDENT
Name : DR. DANIEL BENDETOWICZ
Credential : M.D.
Telephone Number : 239-985-1050
Provider Enumeration Date : 04/04/2007
Last Update Date : 03/17/2018

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Directions to “DANIEL BENDETOWICZ, M.D., P.A. ” Practice Location

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