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Dr. Raymond Paul Liccini, MD
Nuclear Cardiology Physician in Fort Myers, Florida
NPI 1619969078

Raymond Paul Liccini is a Nuclear Cardiology Physician based in Fort Myers, FL and is specialized in Nuclear Cardiology. Raymond Paul Liccini practices in Fort Myers, FL and has the professional credentials of MD. The NPI Number for Raymond Paul Liccini is 1619969078 and holds a License No. ME68201 (Florida).

The current practice location address for Raymond Paul Liccini is 16261 Bass Rd Ste 300, Fort Myers, FL and can be reached out via phone at 239-343-6410 and via fax at 239-343-4014. You can also correspond with Raymond Paul Liccini through the mailing address at PO BOX 2147, FORT MYERS, FL - 33902-2147 (mailing address contact number: 239-343-6410).

Location: 16261 Bass Rd Ste 300, Fort Myers, FL, 33902-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619969078
Provider Name
Raymond Paul Liccini
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16261 Bass Rd Ste 300, Fort Myers, FL, 33902-2147
Phone Number
239-343-6410
Fax Number
239-343-4014
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060070568 01 FL MEDICARE RR
27065 01 FL BCBS
377898300 05 FL
820580815 01 FL TAX ID
institution
Provider Business Practice Location Address Details
Address
16261 Bass Rd Ste 300
City
Fort Myers
State
Florida
Zip
33908
Phone Number
239-343-6410
Fax Number
239-343-4014
person
Provider Business Mailing Address Details
Address
16261 Bass Rd Ste 300
City
Fort Myers
State
Florida
Zip
33908
Phone Number
239-343-6410
Fax Number
239-343-4014
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
ME68201 (Florida)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
207UN0901X
License No.
ME68201 (Florida)
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
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