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NPI Code Detail

MEDICARE: DR. MANIK GOEL M.D.

MEDICARE: DR. MANIK GOEL 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
1207W00000XOphthalmology PhysicianME15500FL

General Provider Information

NPI Number : 1306133103
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANIK GOEL M.D.
Provider Business Mailing Address
First Line : 9617 GULF RESEARCH LN
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4560
Country : US
Telephone Number : 239-418-0999
Fax Number : 239-418-0091
Provider Business Practice Location Address
First Line : 9617 GULF RESEARCH LN
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4560
Country : US
Telephone Number : 239-418-0999
Fax Number : 239-418-0091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2011
Last Update Date : 12/02/2024

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