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Wayne Isaacson Md
Non-Pharmacy Dispensing Site in Fort Myers, Florida
NPI 1770698706

Wayne Isaacson Md is a Non-Pharmacy Dispensing Site based in Fort Myers, FL. Wayne Isaacson Md practices in Fort Myers, FL. The NPI Number for Wayne Isaacson Md is 1770698706 and holds a License No. ME0071098 (Florida).

The current practice location address for Wayne Isaacson Md is 4035 Evans Ave, Fort Myers, FL and can be reached out via phone at 239-939-7375 and via fax at 239-939-5105.

Location: 4035 Evans Ave, Fort Myers, FL, 33901-9308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770698706
Provider Name
Wayne Isaacson Md
Credential
Provider Entity Type
Organization
Address
4035 Evans Ave, Fort Myers, FL, 33901-9308
Phone Number
239-939-7375
Fax Number
239-939-5105
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1020685 01 OTHER ID NUMBER
1020685 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
4035 Evans Ave
City
Fort Myers
State
Florida
Zip
33901-9308
Phone Number
239-939-7375
Fax Number
239-939-5105
person
Provider Business Mailing Address Details
Address
4035 Evans Ave
City
Fort Myers
State
Florida
Zip
33901-9308
Phone Number
239-939-7375
Fax Number
239-939-5105
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
ME0071098 (Florida)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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