National Provider Identifier Database

RAYMOND P LICCINI, MD – NPI #1619969078
Interventional Cardiology

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.


Contact Information

RAYMOND P LICCINI, MD
16261 BASS RD STE 300
FORT MYERS, FL33908
Phone: 239-343-6410
Fax: 239-343-4014
Website:
Specialty Taxonomy Code
* Interventional Cardiology 207RI0011X
Nuclear Cardiology 207UN0901X

* Indicates primary specialty

NPI Profile & details for RAYMOND P LICCINI

NPI Number 1619969078
Credentials MD
Entity Individual
Enumeration date 08/22/2005
Last updated 03/29/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: ME68201
  • FL Medicaid: 377898300
  • FL Other: 27065 BCBS
  • FL Other: 060070568 MEDICARE RR
  • FL Other: 820580815 TAX ID
Hospital affiliation n/a

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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