Annette M St Pierre Mackoul Md Pa

LBN: Annette M St Pierre Mackoul Md Pa
Annette M St Pierre Mackoul Md Pa is an health care organization with primary practice located at 8530 Granite Ct , Fort Myers FL 33908-4102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Annette M St Pierre Mackoul Md Pa can be contacted via phone (239) 415-1131, or through Fleitas, Liset 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:
Map and Directions
Authorized official contact:
Name: Fleitas, Liset
Phone: (239) 415-1131

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME67399 Florida

Profile Details

NPI number 1659679561
LBN Legal business name Annette M St Pierre Mackoul Md Pa
DBA Doing business as
Authorized official Fleitas, Liset
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2011
Last updated May 28th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659679561 NPPES
Florida MEDICAID 000697700
Florida MEDICAID 377085100
Florida MEDICAID 003463600
Florida MEDICAID 024174700

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