R Paul Liccini Md Llc

LBN: R Paul Liccini Md Llc
R Paul Liccini 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 only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as the primary health care specialty. R Paul Liccini Md Llc can be contacted via phone (239) 936-2220, or through Liccini, R. Paul via phone (239) 936-2220.

Contact Information

Primary practice address
12645 New Brittany Blvd Bldg 15 Fort Myers FL 33907-3631
Phone: (239) 936-2220
Fax: (239) 936-2444
Website:
Map and Directions
Authorized official contact:
Name: Liccini, R. Paul Doctor of Medicine (MD)
Phone: (239) 936-2220

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X

Profile Details

NPI number 1174588594
LBN Legal business name R Paul Liccini Md Llc
DBA Doing business as
Authorized official Liccini, R. Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 29th, 2010 - about 14 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 1174588594 NPPES
Florida Other DG1282 RAIL ROAD MEDICARE

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