Shidel, Gary
Shidel, Gary is an individual health care provider with primary practice located at 9470 Healthpark Cir , Fort Myers FL 33908-3600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Shidel, Gary can be contacted via phone (239) 482-4673.Contact Information
Primary practice address
9470 Healthpark Cir
Fort Myers FL 33908-3600
Phone: (239) 482-4673
Fax: (239) 482-7298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARP1955972 | Florida |
Profile Details
| NPI number | 1477523694 |
|---|---|
| LBN Legal business name | Shidel, Gary |
| Credentials | A.R.N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Apr 25th, 2008 - about 18 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 | 1477523694 | NPPES |
| Florida | MEDICAID | 087535000 |
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