MEDICARE: GAIL MCDONALD PERES CNM

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	367A00000X	Advanced Practice Midwife	ARNP 1625982	FL

General Provider Information

NPI Number	:	1578785416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL MCDONALD PERES CNM

Provider Business Mailing Address
First Line	:	3847 E RIVER DR
Second Line	:
City	:	FT. MYERS
State	:	FL
Zip	:	33916-1024
Country	:	US
Telephone Number	:	239-693-5565
Fax Number	:

Provider Business Practice Location Address
First Line	:	3847 E RIVER DR
Second Line	:
City	:	FT. MYERS
State	:	FL
Zip	:	33916-1024
Country	:	US
Telephone Number	:	239-693-5565
Fax Number	:

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	07/08/2007

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