Daitch, Jonathan S

Daitch, Jonathan S is an individual health care provider with primary practice located at 8255 College Pkwy Ste 100, Fort Myers FL 33919-5119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Daitch, Jonathan S can be contacted via phone (239) 437-8000.

Contact Information

Primary practice address
8255 College Pkwy Ste 100 Fort Myers FL 33919-5119
Phone: (239) 437-8000
Fax: (239) 437-9991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME60798 Florida

Profile Details

NPI number 1215924154
LBN Legal business name Daitch, Jonathan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jun 6th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215924154 NPPES
Florida Other 12953 BCBS
Florida Other 4222838 BCBS
Florida MEDICAID 056302100 BCBS
Florida Other 955549006 BCBS

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