Fitzpatrick, Gerard Joseph

Fitzpatrick, Gerard Joseph is an individual health care provider with primary practice located at 16230 Summerlin Rd Suite 213-218, Fort Myers FL 33908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fitzpatrick, Gerard Joseph can be contacted via phone (239) 334-3745.

Contact Information

Primary practice address
16230 Summerlin Rd Suite 213-218 Fort Myers FL 33908
Phone: (239) 334-3745
Fax: (239) 343-7451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 54845 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME123914 Florida

Profile Details

NPI number 1720077159
LBN Legal business name Fitzpatrick, Gerard Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Sep 2nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720077159 NPPES
Massachusetts MEDICAID 3000141

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