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NPI Code Detail

MEDICARE: DR. MICHAEL J LIPINSKI MD, PHD

MEDICARE: DR. MICHAEL J LIPINSKI MD, PHD
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
1207RC0000XCardiovascular Disease PhysicianME174311FL
2207RI0011XInterventional Cardiology Physician0101245043VA
3207RI0011XInterventional Cardiology PhysicianME174311FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184846289
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL J LIPINSKI MD, PHD
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-0550
Fax Number : 239-343-4013
Provider Business Practice Location Address
First Line : 13340 METRO PKWY STE 200
Second Line :
City : FORT MYERS
State : FL
Zip : 33966-4818
Country : US
Telephone Number : 239-343-0550
Fax Number : 239-343-4013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 02/20/2026

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