MEDICARE: DR. LAKSHMI BUSHAN 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
1	207R00000X	Internal Medicine Physician	ME57213	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	ME57213	OTHER	FL	MEDICAL LICENSE

General Provider Information

NPI Number	:	1558395681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAKSHMI BUSHAN MD

Provider Business Mailing Address
First Line	:	3434 HANCOCK BRIDGE PKWY
Second Line	:	STE 301
City	:	NORTH FORT MYERS
State	:	FL
Zip	:	33903-7094
Country	:	US
Telephone Number	:	877-856-3774
Fax Number	:	239-599-2625

Provider Business Practice Location Address
First Line	:	4755 SUMMERLIN RD
Second Line	:	SUITE 8
City	:	FORT MYERS
State	:	FL
Zip	:	33919-1073
Country	:	US
Telephone Number	:	239-275-5339
Fax Number	:	239-275-5595

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	08/27/2015

Similar Medicare Providers

1306864913 — DR. E GONZALEZ MD PA
Practice Location Address:

4755 SUMMERLIN RD , SUITE 8
FORT MYERS, FL
33919-1073

Practice Phone: 239-275-5339
Practice Fax: 239-275-5592

1609858711 — MR. SCOTT L GELLER M.D.,P.A.
Practice Location Address:

4755 SUMMERLIN RD , SUITE # 1
FORT MYERS, FL
33919-1073

Practice Phone: 239-275-8222
Practice Fax: 239-275-9080

1790797041 — DR. NORMAN J ARONS OD
Practice Location Address:

4755 SUMMERLIN RD STE 1
FORT MYERS, FL
33919-1073

Practice Phone: 239-936-8841
Practice Fax: 239-275-9080

1629240593 — SCOTT L. GELLER MD, PA
Practice Location Address:

4755 SUMMERLIN RD , SUITE # 1
FORT MYERS, FL
33919-1073

Practice Phone: 239-275-8222
Practice Fax: 239-275-9080

1760627566 — SUNSHINE PHYSICIAN ASSOCIATES LLC
Practice Location Address:

4755 SUMMERLIN RD , # 8
FORT MYERS, FL
33919-1073

Practice Phone: 239-275-5339
Practice Fax: 239-275-5592

1982908760 — E. GONZALEZ MD PA
Practice Location Address:

4755 SUMMERLIN RD STE 8
FORT MYERS, FL
33919-1073

Practice Phone: 239-275-5339
Practice Fax: 239-275-5592

Directions to “ DR. LAKSHMI BUSHAN MD” 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 © 2007-2026 (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.