| L Dawson Gladding Pa | |
|
1491 Beechwood Trl Fort Myers FL 33919-3430 | |
| (239) 482-6254 | |
| (239) 432-0548 |
| Full Name | L Dawson Gladding Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1491 Beechwood Trl, Fort Myers, Florida |
| Authorized Official Name and Position | Lloyd Dawson Gladding (PRES) |
| Authorized Official Contact | 2394256464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L Dawson Gladding Pa 1491 Beechwood Trl Fort Myers FL 33919-3430 Ph: (239) 482-6254 | L Dawson Gladding Pa 1491 Beechwood Trl Fort Myers FL 33919-3430 Ph: (239) 482-6254 |
| NPI Number | 1275716599 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 12/10/2007 |
| Medicare PECOS PAC ID | 4587683396 |
|---|---|
| Medicare Enrollment ID | O20051121000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275716599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS3902 (Florida) | Primary |
| Provider Name | Lloyd D Gladding |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467568915 PECOS PAC ID: 5991798027 Enrollment ID: I20040406000023 |
| Provider Name | James H Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790776474 PECOS PAC ID: 6901716950 Enrollment ID: I20100628000246 |
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