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NPI Code Detail

MEDICARE: DAVID J. BAILEY M.D.

MEDICARE: DAVID J. BAILEY M.D.
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
1207RC0000XCardiovascular Disease PhysicianME90050FL
2207RI0011XInterventional Cardiology PhysicianME90050FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1195525OTHERABIM
243224ZOTHERPTAN
3I12266OTHERUPIN
411267593OTHERCAQH
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720023864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID J. BAILEY M.D.
Provider Business Mailing Address
First Line : 1550 BARKLEY CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-4539
Country : US
Telephone Number : 239-938-2000
Fax Number : 239-278-0404
Provider Business Practice Location Address
First Line : 1550 BARKLEY CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-4539
Country : US
Telephone Number : 239-938-2000
Fax Number : 239-278-0404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 04/17/2025

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Directions to “ DAVID J. BAILEY M.D.” Practice Location

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