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Contact Information

JOHN A CHURCHILL, MD
15821 HOLLYFERN CT
FORT MYERS, FL33908
 Phone: 239-432-5100
 Fax: 239-432-0629
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN A CHURCHILL · (Male)

NPI Number 1245244995
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2006
Last updated 09/14/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME87100
  • FL Medicaid 267883700
  • FL Other 4509387 AETNA
  • FL Other 189182 AMERIGROUP
  • FL Other 270843 AVMED
  • FL Other 25519 BLUE CROSS BLUE SHIELD
  • FL Other 7566688-008 CIGNA
  • FL Other 221101 STAYWELL HEALTHY KIDS
Hospital affiliation(s) Not Available
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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