Angel O Pietri Md Llc

LBN: Angel O Pietri Md Llc
Angel O Pietri Md Llc is an health care organization with primary practice located at 12645 New Brittany Blvd Bldg 15 , Fort Myers FL 33907-3631. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is the primary health care specialty. Angel O Pietri Md Llc can be contacted via phone (239) 277-9377, or through Pietri, Angel O via phone (239) 277-9377.

Contact Information

Primary practice address
12645 New Brittany Blvd Bldg 15 Fort Myers FL 33907-3631
Phone: (239) 277-9377
Fax: (239) 277-3292
Website:
Map and Directions
Authorized official contact:
Name: Pietri, Angel O Doctor of Medicine (MD)
Phone: (239) 277-9377

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME48879 Florida
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME48879 Florida

Profile Details

NPI number 1275640278
LBN Legal business name Angel O Pietri Md Llc
DBA Doing business as
Authorized official Pietri, Angel O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Nov 6th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275640278 NPPES
Florida MEDICAID 043790500

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