person
Jon Michael Banas, DO
Diagnostic Radiology Physician in Fort Myers, Florida
NPI 1598750747

Jon Michael Banas is a Diagnostic Radiology Physician based in Fort Myers, FL and is specialized in Diagnostic Radiology. Jon Michael Banas practices in Fort Myers, FL and has the professional credentials of DO. The NPI Number for Jon Michael Banas is 1598750747 and holds a License No. 036100431 (Florida).

The current practice location address for Jon Michael Banas is 3680 Broadway, Fort Myers, FL and can be reached out via phone at 239-936-2316 and via fax at 239-931-6365.

Location: 3680 Broadway, Fort Myers, FL, 33901-8005
person
Provider Profile Details
NPI Number
1598750747
Provider Name
Jon Michael Banas
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3680 Broadway, Fort Myers, FL, 33901-8005
Phone Number
239-936-2316
Fax Number
239-931-6365
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00801888 01 FL RAILROAD MEDICARE
001495200 05 FL
036100431 05 IL
institution
Provider Business Practice Location Address Details
Address
3680 Broadway
City
State
Zip
33901-8005
Phone Number
239-936-2316
Fax Number
239-931-6365
person
Provider Business Mailing Address Details
Address
3680 Broadway
City
State
Zip
33901-8005
Phone Number
239-936-2316
Fax Number
239-931-6365
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
036100431 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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