MEDICARE: PRECISION HEALTHCARE SPECIALISTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208600000X	Surgery Physician
2	235Z00000X	Speech-Language Pathologist
3	208C00000X	Colon & Rectal Surgery Physician
4	261QM1300X	Multi-Specialty Clinic/Center
5	208800000X	Urology Physician
6	207N00000X	Dermatology Physician
7	207X00000X	Orthopaedic Surgery Physician
8	2086X0206X	Surgical Oncology Physician
9	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician
10	207RP1001X	Pulmonary Disease Physician
11	2085R0001X	Radiation Oncology Physician
12	2085R0202X	Diagnostic Radiology Physician
13	207Y00000X	Otolaryngology Physician

General Provider Information

NPI Number	:	1457050106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION HEALTHCARE SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	6321 DANIELS PKWY STE 200
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4710
Country	:	US
Telephone Number	:	239-416-8101
Fax Number	:	877-894-6707

Provider Business Practice Location Address
First Line	:	13691 METRO PKWY STE 300
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4322
Country	:	US
Telephone Number	:	239-416-8101
Fax Number	:	877-894-6707

Authorized Official
Title or Position	:	SVP, ADMINISTRATION
Name	:	MR. LAWRENCE MARONE
Credential	:
Telephone Number	:	941-626-1530

Provider Enumeration Date	:	03/01/2023
Last Update Date	:	01/21/2026

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