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Contact Information

MARY E BASS, MD
3949 EVANS AVE
FORT MYERS, FL33901-9335
 Phone: 239-939-2622
 Fax: 239-939-0151
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MARY E BASS · (Female)

NPI Number 1902951718
Status Active
Credentials MD
Entity Individual
Enumeration date 01/24/2007
Last updated 12/17/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME111083
  • NY License # 219917
Hospital affiliation(s)
  • GULF COAST MEDICAL CENTER LEE MEMORIAL HEALTH SYSTEM - (Acute Care)
    13681 DOCTOR'S WAY
    FORT MYERS, FL 33912
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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