Gary Pynckel D.o., P.a.

NPI 1083800072 - Family Medicine - 207Q00000X

NPI Details
NPI 1083800072
Enumeration Date 09/24/2007
Last Updated 05/16/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY GARY
Position PHYSICIAN
Phone (239) 278-3377
Fax (239) 278-5266
Practice Location
3840 COLONIAL BLVD.
SUITE 1
FORT MYERS FL, 33966, US
Phone (239) 278-3377
Fax (239) 278-5266
Business Location
3840 COLONIAL BLVD. SUITE 1
FORT MYERS FL, 33966, US
Phone (239) 278-3377
Fax (239) 278-5266
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number OS5445
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According to our database, Gary Pynckel D.o., P.a. NPI is 1083800072, taxonomy code is 207Q00000X and license number is OS5445, license state is located at Florida. Gary Pynckel D.o., P.a. physically located at 3840 Colonial Blvd., Fort Myers FL, 33966. NPI Number 1033115704 has the healthcare provider type.

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1083800072 NPI number is provided on an as is basis without warranty of any kind. 1083800072 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Pynckel D.o., P.a. are for informational purposes only.