| Sanibel Medical, Inc. | |
|
2499 Palm Ridge Rd Sanibel FL 33957-3201 | |
| (239) 395-2005 | |
| (239) 395-0042 |
| Full Name | Sanibel Medical, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2499 Palm Ridge Rd, Sanibel, Florida |
| Authorized Official Name and Position | Gary N Wright (MEDICAL DOCTOR) |
| Authorized Official Contact | 2393952005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanibel Medical, Inc. Po Box 628 Sanibel FL 33957-0628 Ph: (239) 395-2005 | Sanibel Medical, Inc. 2499 Palm Ridge Rd Sanibel FL 33957-3201 Ph: (239) 395-2005 |
| NPI Number | 1376680041 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/15/2011 |
| Medicare PECOS PAC ID | 8426029091 |
|---|---|
| Medicare Enrollment ID | O20040805000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376680041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary N Wright |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841212750 PECOS PAC ID: 4688645260 Enrollment ID: I20040805000805 |
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