| Dr Michael C Carr, MD | |
| 
					16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769  | |
| (239) 343-7474 | |
| (239) 343-4190 | 
| Full Name | Dr Michael C Carr | 
|---|---|
| Gender | Male | 
| Speciality | Urology - Pediatric Urology | 
| Location | 16230 Summerlin Rd Ste 215, 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 | 
|---|---|---|---|
| 1649354044 | NPI | - | NPPES | 
| 001699548 | Medicaid | PA | |
| 013251000 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | MD065637L (Pennsylvania) | Secondary | 
| 208800000X | Urology | ME120545 (Florida) | Secondary | 
| 2088P0231X | Urology - Pediatric Urology | ME120545 (Florida) | Primary | 
| Entity Name | Lee Memorial Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604  | 
| Entity Name | Kidz Medical Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366408379 PECOS PAC ID: 3678536240 Enrollment ID: O20041105000218  | 
| Entity Name | Lee Health System Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael C Carr, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 424-1500  | Dr Michael C Carr, MD 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 Ph: (239) 343-7474  | 
Jaqueline Sousa Carvalho, FNP-BC Urology Medicare: Medicare Enrolled Practice Location: 12651 Whitehall Dr, Fort Myers, FL 33907 Phone: 239-424-2030 Fax: 239-343-4117  | |
Barry F Blitz, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 7451 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-689-8800 Fax: 239-939-7774  | |
Dr. Joseph Clair Klink, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8931 Colonial Center Dr Ste 401, Fort Myers, FL 33905 Phone: 239-396-8930 Fax: 239-396-8932  | |
Scott Raymond Caesar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905 Phone: 239-458-1196 Fax: 239-458-1345  | |
Mark Joseph Kelly, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905 Phone: 239-396-8930 Fax: 239-396-8932  | |
Brett Michael Giblin,  Urology Medicare: Medicare Enrolled Practice Location: 12651 Whitehall Dr, Fort Myers, FL 33907 Phone: 239-424-2030 Fax: 239-343-4117  | |
Dr. David S Harris, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6811 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-533-5177 Fax: 239-322-5610  |