St Pierre-Mackoul, Annette M
St Pierre-Mackoul, Annette M is an sole proprietor health care provider with primary practice located at 8530 Granite Ct , Fort Myers FL 33908-4102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. St Pierre-Mackoul, Annette M can be contacted via phone (239) 415-1131.Contact Information
Primary practice address
8530 Granite Ct
Fort Myers FL 33908-4102
Phone: (239) 415-1131
Fax: (239) 415-1136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME67399 | Florida |
Profile Details
| NPI number | 1285623728 |
|---|---|
| LBN Legal business name | St Pierre-Mackoul, Annette M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | May 28th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285623728 | NPPES |
| Florida | MEDICAID | 000697700 | |
| Florida | MEDICAID | 024174700 | |
| Florida | MEDICAID | 377085100 | |
| Florida | MEDICAID | 003463600 |
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