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NPI Code Detail

MEDICARE: ASSOCIATES IN MEDICINE & SURGERY LLC

MEDICARE: ASSOCIATES IN MEDICINE & SURGERY 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
1208100000XPhysical Medicine & Rehabilitation PhysicianFL
2363AM0700XMedical Physician AssistantFL
3363LF0000XFamily Nurse PractitionerFL
4207LP2900XPain Medicine (Anesthesiology) PhysicianFL
5207Q00000XFamily Medicine PhysicianFL
6207R00000XInternal Medicine PhysicianFL
7213ES0103XFoot & Ankle Surgery PodiatristFL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DR7753OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
198678OTHERFLBLUE SHIELD

General Provider Information

NPI Number : 1386884385
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATES IN MEDICINE & SURGERY LLC
Provider Business Mailing Address
First Line : 8851 BOARDROOM CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4888
Country : US
Telephone Number : 239-481-7000
Fax Number : 239-433-8999
Provider Business Practice Location Address
First Line : 8851 BOARDROOM CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4888
Country : US
Telephone Number : 239-481-7000
Fax Number : 239-433-8999
Authorized Official
Title or Position : CEO
Name : H A CHARARA
Credential :
Telephone Number : 239-689-8900
Provider Enumeration Date : 03/03/2009
Last Update Date : 01/09/2023

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Directions to “ASSOCIATES IN MEDICINE & SURGERY LLC ” Practice Location

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