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NPI Code Detail

MEDICARE: RAYMOND M ESPER MD

MEDICARE: RAYMOND M ESPER MD
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
1207RH0000XHematology (Internal Medicine) PhysicianME126015FL
2207RX0202XMedical Oncology PhysicianME126015FL

Other Identifiers

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

General Provider Information

NPI Number : 1407085376
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND M ESPER MD
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line : ATTN: CREDENTIALING DEPT
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 8260 GLADIOLUS DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4156
Country : US
Telephone Number : 239-437-5755
Fax Number : 239-437-5776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2009
Last Update Date : 05/02/2022

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