Raider, Andrew Lee
Raider, Andrew Lee is an individual health care provider with primary practice located at 13681 Doctors Way Gulf Coast Medical Center, Fort Myers FL 33912-3391. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Raider, Andrew Lee can be contacted via phone (239) 343-1000.Contact Information
Primary practice address
13681 Doctors Way Gulf Coast Medical Center
Fort Myers FL 33912-3391
Phone: (239) 343-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | OS8882 | Florida |
Profile Details
NPI number | 1558323865 |
---|---|
LBN Legal business name | Raider, Andrew Lee |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2006 |
Last updated | Jan 13th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558323865 | NPPES |
Florida | MEDICAID | 267425400 | |
Florida | Other | 71114 |
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