Dr Jason Boyd Hollis, DO | |
13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | |
(239) 652-4111 | |
(239) 652-4105 |
Full Name | Dr Jason Boyd Hollis |
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Gender | Male |
Speciality | Family Medicine |
Location | 13279 N Cleveland Ave, North Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942697495 | NPI | - | NPPES |
110902000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 80316 (Georgia) | Secondary |
207Q00000X | Family Medicine | OS17924 (Florida) | Primary |
Entity Name | Curtis V. Cooper Primary Health Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750314183 PECOS PAC ID: 4789667015 Enrollment ID: O20040609000352 |
Entity Name | Southern Family Medicine Of Georgia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528299393 PECOS PAC ID: 6608914056 Enrollment ID: O20091105000378 |
Mailing Address | Practice Location Address |
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Dr Jason Boyd Hollis, DO Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 652-4111 | Dr Jason Boyd Hollis, DO 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 Ph: (239) 652-4111 |
Dr. Joseph Aloise, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18900 N Tamiami Trl, Suite 9, North Fort Myers, FL 33903 Phone: 239-567-1000 Fax: 239-567-1008 | |
Dr. German Eduardo Lafaurie, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 13279 N Cleveland Ave, North Fort Myers, FL 33903 Phone: 239-652-4111 Fax: 239-652-4105 | |
Chrissy Jo Baker, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 15201 N Cleveland Ave Ste 1010, North Fort Myers, FL 33903 Phone: 833-674-2500 |