| Dr Miriam Ajo, MD | |
|
2789 Ortiz Ave, Fort Myers, FL 33905-7806 | |
| (239) 275-3222 | |
| (239) 275-3103 |
| Full Name | Dr Miriam Ajo |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2789 Ortiz Ave, 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 |
|---|---|---|---|
| 1477883866 | NPI | - | NPPES |
| 003854000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME108380 (Florida) | Primary |
| Entity Name | Saluscare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972557197 PECOS PAC ID: 8325014350 Enrollment ID: O20040909001075 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Miriam Ajo, MD 2789 Ortiz Ave, Fort Myers, FL 33905-7806 Ph: (239) 275-3222 | Dr Miriam Ajo, MD 2789 Ortiz Ave, Fort Myers, FL 33905-7806 Ph: (239) 275-3222 |
Stanley Garken Lue, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212 Fax: 239-208-3994 | |
Felix Gabriel Rivera - Perez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212 | |
Erica Rene Wilt, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966 Phone: 239-208-2206 | |
Ellie Frazey, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212 | |
Dr. Mark Adam Giordano, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907 Phone: 239-343-9180 Fax: 239-343-9188 | |
Gustavo Silveira E Silva, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966 Phone: 239-208-2206 | |
Dr. Deepa Vaduthalakuzhy Luka, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15901 Bass Rd Ste 108, Fort Myers, FL 33908 Phone: 239-343-6050 Fax: 239-343-6051 |