Amatulle, Philip
Amatulle, Philip is an individual health care provider with primary practice located at 3680 Broadway , Fort Myers FL 33901-8005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Amatulle, Philip can be contacted via phone (239) 936-2316.Contact Information
Primary practice address
3680 Broadway
Fort Myers FL 33901-8005
Phone: (239) 936-2316
Fax: (239) 936-3099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 213214 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 213214 | New York |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME133543 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME133543 | Florida |
Profile Details
| NPI number | 1144227331 |
|---|---|
| LBN Legal business name | Amatulle, Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Aug 4th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144227331 | NPPES |
| New York | MEDICAID | 01946285 | |
| New York | MEDICAID | 025093200 |
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