MEDICARE: COLLIER ANESTHESIA PAIN LLC

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	207LP2900X	Pain Medicine (Anesthesiology) Physician		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	94852	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1306899349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLLIER ANESTHESIA PAIN LLC

Provider Business Mailing Address
First Line	:	PO BOX 638900
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-8900
Country	:	US
Telephone Number	:	239-939-7375
Fax Number	:	239-939-5105

Provider Business Practice Location Address
First Line	:	4035 EVANS AVE
Second Line	:	SUITE 1
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9308
Country	:	US
Telephone Number	:	239-939-7375
Fax Number	:	239-939-5105

Authorized Official
Title or Position	:	MD
Name	:	WAYNE ISAACSON
Credential	:
Telephone Number	:	239-939-7375

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1770588584 — PHYSICIANS SURGERY CENTER LLC
Practice Location Address:

4035 EVANS AVE
FT MYERS, FL
33901-9308

Practice Phone: 239-788-0604
Practice Fax: 239-230-0041

1215928189 — WAYNE ISAACSON M.D.
Practice Location Address:

4035 EVANS AVE , SUITE 1
FORT MYERS, FL
33901-9308

Practice Phone: 239-939-7375
Practice Fax: 239-939-5105

1770698706 — WAYNE ISAACSON MD
Practice Location Address:

4035 EVANS AVE , STE 1
FORT MYERS, FL
33901-9308

Practice Phone: 239-939-7375
Practice Fax: 239-939-5105

1245667542 — SUMMERLIN ANESTHESIA, INC.
Practice Location Address:

4035 EVANS AVE
FORT MYERS, FL
33901-9308

Practice Phone: 239-466-8838
Practice Fax:

1144662479 — TIWANNA ORTIZ CERTIFIED HAIR LOSS
Practice Location Address:

9308 RHONI COURT
FORT WORTH, TX
76140

Practice Phone: 682-203-2218
Practice Fax:

1801515259 — ABBIE BYRD HANCOCK LCSW
Practice Location Address:

9308 AUBREE CT
FORT WORTH, TX
76140-5169

Practice Phone: 682-208-4087
Practice Fax:

Directions to “COLLIER ANESTHESIA PAIN LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.