Mina, John W

Mina, John W is an sole proprietor health care provider with primary practice located at 8851 Boardroom Circle , Ft Myers FL 33919-4888. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Mina, John W can be contacted via phone (239) 481-7000.

Contact Information

Primary practice address
8851 Boardroom Circle Ft Myers FL 33919-4888
Phone: (239) 481-7000
Fax: (239) 481-5180
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1386 Florida

Profile Details

NPI number 1457335770
LBN Legal business name Mina, John W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Mar 13th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457335770 NPPES
Florida Other 1065630001 MEDICARE DME
Florida Other 480000496A MEDICARE DME

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