| Daniel Bendetowicz, M.D., P.A. | |
|
6840 International Center Blvd Fort Myers FL 33912-7161 | |
| (239) 985-1050 | |
| (239) 985-1060 |
| Full Name | Daniel Bendetowicz, M.D., P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6840 International Center Blvd, Fort Myers, Florida |
| Authorized Official Name and Position | Daniel Bendetowicz (PRESIDENT) |
| Authorized Official Contact | 2399851050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Bendetowicz, M.D., P.A. 6840 International Center Blvd Fort Myers FL 33912-7161 Ph: (239) 985-1050 | Daniel Bendetowicz, M.D., P.A. 6840 International Center Blvd Fort Myers FL 33912-7161 Ph: (239) 985-1050 |
| NPI Number | 1174645717 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 2769453810 |
|---|---|
| Medicare Enrollment ID | O20040803001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174645717 | NPI | - | NPPES |
| DB9873 | Other | FL | RAILROAD PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME75758 (Florida) | Primary |
| Provider Name | Daniel S Bendetowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891793287 PECOS PAC ID: 0648241794 Enrollment ID: I20040804000416 |
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