Ardesia, John
Ardesia, John is an individual health care provider with primary practice located at 16271 Bass Rd , Ft Myers FL 33908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ardesia, John can be contacted via phone (239) 343-7100.Contact Information
Primary practice address
16271 Bass Rd
Ft Myers FL 33908
Phone: (239) 343-7100
Fax: (239) 343-7190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS8621 | Florida |
Profile Details
| NPI number | 1619979572 |
|---|---|
| LBN Legal business name | Ardesia, John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Mar 24th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619979572 | NPPES |
| Florida | MEDICAID | 269047100 |
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