| Fort Myers Internal Medicine Llc | |
|
13861 Plantation Rd Unit 104 Ft Myers FL 33912 | |
| (239) 225-1306 | |
| (239) 768-1313 |
| Full Name | Fort Myers Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13861 Plantation Rd Unit 104, Ft Myers, Florida |
| Authorized Official Name and Position | Robert Haddad (OWNER) |
| Authorized Official Contact | 2392251306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Myers Internal Medicine Llc 13861 Plantation Rd Unit 104 Ft Myers FL 33912 Ph: (239) 225-1306 | Fort Myers Internal Medicine Llc 13861 Plantation Rd Unit 104 Ft Myers FL 33912 Ph: (239) 225-1306 |
| NPI Number | 1346588621 |
|---|---|
| Provider Enumeration Date | 01/22/2013 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7416196423 |
|---|---|
| Medicare Enrollment ID | O20130625000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346588621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME106006 (Florida) | Primary |
| Provider Name | Manuel A Pardo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376583294 PECOS PAC ID: 9032010947 Enrollment ID: I20040115000022 |
| Provider Name | Robert Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275571572 PECOS PAC ID: 6507878865 Enrollment ID: I20100309000102 |
| Provider Name | Jennifer A Haas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740601608 PECOS PAC ID: 0446479307 Enrollment ID: I20140909000671 |
| Provider Name | Marissa Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306201520 PECOS PAC ID: 2062717606 Enrollment ID: I20170217001559 |
| Provider Name | Seth William Jelinek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144589854 PECOS PAC ID: 1355651662 Enrollment ID: I20190214000281 |
| Provider Name | Linsey Atchison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326605437 PECOS PAC ID: 9234562935 Enrollment ID: I20220901001410 |
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