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Contact Information

G B FISHER III DO PA
875 105 AVE NORTH
NAPLES, FL34108
 Phone: 239-431-7070
 Fax: 239-431-7075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for G B FISHER III DO PA

NPI Number 1124253398
LBN Legal business name G B FISHER III DO PA
Authorized official GEORGE FISHER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2009
Last updated 05/18/2009 - About 17 years ago
Identifiers
FL License # OS7853
FL Medicaid 256757100
FL Other 49530 BLUE CROSS/BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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