Active NPI 1285699447 Individual Practitioner Male Practitioner

Dr. Jack A Pines , MD

Urology • Hallandale Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Pines, MD is a certified Urology practicing in Hallandale Beach, FL. With approximately 44 years of clinical experience since graduating from Tulane University School Of Medicine in 1982, Dr. Pines delivers high-quality medical care to the local community at 2500 E HALLANDALE BEACH BLVD.

Dr. Pines is affiliated with Genesiscare Usa Of Florida Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include urine microalbumin (protein) analysis, creatinine level to test for kidney function or muscle injury, manual urinalysis test with examination using microscope, automated. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 E Hallandale Beach Blvd
Suite Ph-2

Hallandale Beach, FL 330094834

Telephone 9544566500

Fax 9544566503

Associated Practice Facility / Clinic

🏢 Home Care Depot Inc Facility NPI 1134115108

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Hallandale Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs Matches City Avg

City Avg: 44.0 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Hallandale Beach, FL (1082 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pines (44 Years) 44 Yrs

Hallandale Beach Specialty Average (44.0 Years) 44.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82044 Urine microalbumin (protein) analysis	919	530	$20.14	$6.11
82570 Creatinine level to test for kidney function or muscle injury	915	528	$22.75	$5.08
81001 Manual urinalysis test with examination using microscope, automated	915	527	$13.90	$3.11
51798 Ultrasound measurement of bladder capacity after voiding	738	487	$65.23	$11.96
99213 Established patient office or other outpatient visit, typically 15 minutes	549	375	$228.16	$96.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	273	$337.36	$136.26
52000 Diagnostic exam of bladder and urethra using an endoscope	103	91	$717.75	$253.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$527.58	$178.87
81000 Manual urinalysis test with examination using microscope, non-automated	75	65	$13.84	$3.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	17	$137.61	$60.12
51703 Complicated insertion of bladder tube	46	14	$465.73	$159.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$444.43	$140.47
76775 Limited ultrasound scan behind abdominal cavity	26	26	$363.55	$63.00
51741 Electronic assessment of bladder emptying	22	20	$314.95	$14.55
36415 Insertion of needle into vein for collection of blood sample	17	16	$14.91	$8.65
76872 Ultrasound scan of pelvic region through rectum	16	15	$462.73	$144.48
52281 Dilation of bladder canal (urethra) using an endoscope	14	13	$965.77	$347.23
55700 Biopsy of prostate gland	14	14	$770.85	$257.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82044 Urine microalbumin (protein) analysis	830	502	$19.95	$6.11
82570 Creatinine level to test for kidney function or muscle injury	828	501	$22.55	$5.08
81001 Manual urinalysis test with examination using microscope, automated	828	503	$13.78	$3.11
51798 Ultrasound measurement of bladder capacity after voiding	774	506	$64.68	$11.07
99213 Established patient office or other outpatient visit, typically 15 minutes	589	358	$226.12	$93.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	438	290	$334.56	$131.85
81000 Manual urinalysis test with examination using microscope, non-automated	170	137	$13.78	$3.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$525.99	$173.19
52000 Diagnostic exam of bladder and urethra using an endoscope	89	81	$705.42	$248.63
51703 Complicated insertion of bladder tube	81	18	$459.73	$156.20
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	77	11	$684.77	$168.65
51741 Electronic assessment of bladder emptying	48	44	$312.82	$13.92
36415 Insertion of needle into vein for collection of blood sample	42	40	$10.02	$8.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	15	$136.10	$58.38
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	25	11	$113.15	$34.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	17	$439.72	$136.72
76775 Limited ultrasound scan behind abdominal cavity	18	18	$363.55	$61.14
55700 Biopsy of prostate gland	15	14	$770.85	$251.79
76872 Ultrasound scan of pelvic region through rectum	15	14	$458.43	$139.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	840	522	$64.68	$11.05
82044 Urine microalbumin (protein) analysis	828	500	$19.95	$6.16
82570 Creatinine level to test for kidney function or muscle injury	828	500	$22.55	$5.12
81001 Manual urinalysis test with examination using microscope, automated	823	498	$13.78	$3.13
99213 Established patient office or other outpatient visit, typically 15 minutes	554	366	$226.12	$95.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	500	325	$334.56	$133.57
81000 Manual urinalysis test with examination using microscope, non-automated	232	204	$13.78	$3.89
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	98	11	$705.73	$171.66
52000 Diagnostic exam of bladder and urethra using an endoscope	86	76	$705.42	$260.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$525.99	$174.07
51703 Complicated insertion of bladder tube	52	14	$459.73	$162.13
36415 Insertion of needle into vein for collection of blood sample	40	36	$9.29	$2.96
51741 Electronic assessment of bladder emptying	32	28	$312.82	$14.26
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	29	11	$113.15	$33.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$439.72	$142.27
76775 Limited ultrasound scan behind abdominal cavity	25	25	$363.55	$61.75
52281 Dilation of bladder canal (urethra) using an endoscope	15	14	$965.77	$353.86
55700 Biopsy of prostate gland	13	13	$770.85	$259.10
76872 Ultrasound scan of pelvic region through rectum	13	13	$458.43	$145.23
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$641.47	$61.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$126.16	$37.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	787	508	$64.68	$10.82
82570 Creatinine level to test for kidney function or muscle injury	724	476	$22.55	$5.18
82044 Urine microalbumin (protein) analysis	724	476	$19.95	$6.23
81001 Manual urinalysis test with examination using microscope, automated	721	476	$13.78	$3.17
99213 Established patient office or other outpatient visit, typically 15 minutes	608	393	$226.12	$95.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	432	298	$334.56	$136.02
81000 Manual urinalysis test with examination using microscope, non-automated	299	247	$13.78	$3.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$525.99	$178.09
52000 Diagnostic exam of bladder and urethra using an endoscope	104	88	$705.42	$248.35
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	83	13	$684.77	$191.02
36415 Insertion of needle into vein for collection of blood sample	48	43	$9.29	$2.94
76775 Limited ultrasound scan behind abdominal cavity	30	30	$363.55	$62.01
51703 Complicated insertion of bladder tube	28	11	$459.73	$158.93
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	27	13	$113.15	$34.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$439.72	$143.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	14	$226.52	$75.52
51741 Electronic assessment of bladder emptying	18	14	$312.82	$13.20
52281 Dilation of bladder canal (urethra) using an endoscope	15	12	$965.77	$356.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$341.63	$119.28
51703 Complicated insertion of bladder tube	14	13	$281.13	$77.31
55700 Biopsy of prostate gland	13	13	$770.85	$267.17
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$641.47	$61.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$450.38	$191.13
76872 Ultrasound scan of pelvic region through rectum	11	11	$458.43	$144.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82044 Urine microalbumin (protein) analysis	846	514	$19.95	$6.19
82570 Creatinine level to test for kidney function or muscle injury	846	514	$22.55	$5.15
81001 Manual urinalysis test with examination using microscope, automated	841	513	$13.78	$3.15
51798 Ultrasound measurement of bladder capacity after voiding	786	517	$64.68	$10.85
99213 Established patient office or other outpatient visit, typically 15 minutes	746	438	$226.12	$78.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	300	$334.56	$114.18
81000 Manual urinalysis test with examination using microscope, non-automated	229	185	$13.78	$3.86
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	149	19	$684.77	$222.42
52000 Diagnostic exam of bladder and urethra using an endoscope	143	114	$705.42	$224.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$525.99	$175.43
51703 Complicated insertion of bladder tube	83	19	$459.73	$150.58
36415 Insertion of needle into vein for collection of blood sample	47	42	$9.29	$2.99
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	39	19	$113.15	$33.15
76775 Limited ultrasound scan behind abdominal cavity	35	35	$363.55	$61.84
51741 Electronic assessment of bladder emptying	25	19	$312.82	$13.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$341.63	$112.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$439.72	$147.72
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	11	$641.47	$60.17
76872 Ultrasound scan of pelvic region through rectum	12	11	$458.43	$148.94
52281 Dilation of bladder canal (urethra) using an endoscope	11	11	$965.77	$344.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	22,001	11	$0.12	$0.03
51798 Ultrasound measurement of bladder capacity after voiding	956	578	$64.68	$13.23
99213 Established patient office or other outpatient visit, typically 15 minutes	876	485	$226.12	$77.51
82044 Urine microalbumin (protein) analysis	850	516	$19.95	$6.11
82570 Creatinine level to test for kidney function or muscle injury	850	516	$22.55	$5.63
81001 Manual urinalysis test with examination using microscope, automated	836	510	$13.78	$3.45
81000 Manual urinalysis test with examination using microscope, non-automated	489	359	$13.78	$3.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	437	300	$334.56	$111.80
52000 Diagnostic exam of bladder and urethra using an endoscope	139	112	$705.42	$199.95
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	127	14	$684.77	$226.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$525.99	$172.42
51703 Complicated insertion of bladder tube	100	22	$459.73	$139.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	98	11	$74.90	$17.28
51741 Electronic assessment of bladder emptying	89	79	$312.82	$14.88
76775 Limited ultrasound scan behind abdominal cavity	44	44	$363.55	$60.83
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	34	14	$113.15	$31.80
36415 Insertion of needle into vein for collection of blood sample	28	23	$9.29	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$341.63	$114.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$136.10	$47.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$439.72	$145.28
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	21	18	$2463.42	$769.90
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	16	$641.47	$59.32
76872 Ultrasound scan of pelvic region through rectum	17	16	$458.43	$132.05
55700 Biopsy of prostate gland	16	16	$770.85	$265.26
52281 Dilation of bladder canal (urethra) using an endoscope	12	12	$965.77	$317.46
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2890.34	$801.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	23,200	11	$0.12	$0.03
82570 Creatinine level to test for kidney function or muscle injury	880	500	$22.55	$6.25
82044 Urine microalbumin (protein) analysis	879	499	$19.95	$6.10
81001 Manual urinalysis test with examination using microscope, automated	877	498	$13.78	$3.84
99213 Established patient office or other outpatient visit, typically 15 minutes	858	457	$226.12	$75.48
51798 Ultrasound measurement of bladder capacity after voiding	795	507	$64.68	$16.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	481	338	$334.56	$110.48
81000 Manual urinalysis test with examination using microscope, non-automated	446	315	$13.78	$3.89
51741 Electronic assessment of bladder emptying	234	186	$312.82	$16.42
52000 Diagnostic exam of bladder and urethra using an endoscope	143	129	$705.42	$173.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$525.99	$171.02
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	14	$684.77	$211.48
51703 Complicated insertion of bladder tube	103	22	$459.73	$133.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	100	11	$74.90	$21.01
76775 Limited ultrasound scan behind abdominal cavity	45	45	$363.55	$59.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	28	$136.10	$45.36
36415 Insertion of needle into vein for collection of blood sample	35	31	$9.29	$2.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	33	$439.72	$144.01
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	31	15	$113.15	$31.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	14	$126.16	$41.14
52281 Dilation of bladder canal (urethra) using an endoscope	20	19	$965.77	$288.94
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	18	16	$2463.42	$726.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$341.63	$112.90
76872 Ultrasound scan of pelvic region through rectum	13	12	$458.43	$99.13
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$641.47	$61.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	18,401	11	$0.12	$0.02
82044 Urine microalbumin (protein) analysis	919	499	$19.95	$6.15
82570 Creatinine level to test for kidney function or muscle injury	919	499	$22.55	$6.96
81001 Manual urinalysis test with examination using microscope, automated	908	498	$13.78	$4.26
99213 Established patient office or other outpatient visit, typically 15 minutes	874	461	$226.12	$73.11
51798 Ultrasound measurement of bladder capacity after voiding	857	548	$64.68	$19.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	473	342	$334.56	$106.88
81000 Manual urinalysis test with examination using microscope, non-automated	440	273	$13.78	$4.18
51741 Electronic assessment of bladder emptying	212	176	$312.82	$15.87
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	163	19	$684.77	$209.03
52000 Diagnostic exam of bladder and urethra using an endoscope	137	118	$705.42	$164.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$525.99	$166.12
51703 Complicated insertion of bladder tube	90	19	$459.73	$127.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	11	$74.90	$25.33
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	50	19	$113.15	$32.56
36415 Insertion of needle into vein for collection of blood sample	49	42	$9.29	$2.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	42	$439.72	$139.03
76775 Limited ultrasound scan behind abdominal cavity	33	33	$363.55	$58.66
52281 Dilation of bladder canal (urethra) using an endoscope	22	22	$965.77	$278.05
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	19	13	$2463.42	$696.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$136.10	$43.72
76872 Ultrasound scan of pelvic region through rectum	13	12	$458.43	$94.69

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME48050

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License FL ME 48050

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2730308 00 (FL)

Commercial Insurance / Payer ID Wellcare

18645 (FL)

Commercial Insurance / Payer ID Aetna Provider #

4072125 (FL)

Commercial Insurance / Payer ID Medicare Group

77215 (FL)

Commercial Insurance / Payer ID Molina

QMP000003703988 (FL)

Commercial Insurance / Payer ID Rr Medicare

P00470777 (FL)

Commercial Insurance / Payer ID Bcbs Fl

03807 (FL)

Commercial Insurance / Payer ID Medica

11499 (FL)

Commercial Insurance / Payer ID Florida Healthcare Plus

P0003143 (FL)

Hospital & Practice Group Affiliations

Genesiscare Usa Of Florida Llc

2500 E Hallandale Beach Blvd, Hallandale Beach, FL 330094863

Phone: 7547075680

Genesiscare Usa Of Florida Llc

1419 Se 8th Ter, Cape Coral, FL 339903213

Phone: 2397723202

Genesiscare Usa Of Florida Llc

1419 Se 8th Ter, Cape Coral, FL 339903213

Genesiscare Usa Of Florida Llc

601 N Flamingo Rd, Pembroke Pines, FL 330281010

Phone: 7547075680

Genesiscare Usa Of Florida Llc

730 Goodlette Rd, Naples, FL 341025618

Phone: 2392634499

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Carly Kitchens , PA-C

Physician Assistant

NPI 1467793133

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active April 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 10, 2017

Registered at 2500 E HALLANDALE BEACH BLVD, SUITE PH-2, HALLANDALE BEACH, FL 330094834 (Tel: 9544566500)

📍

Updated Business Mailing Address April 10, 2017

Registered at 2234 COLONIAL BLVD, MANAGED CARE DEPT, FORT MYERS, FL 339071412 (Tel: 2399317342)

👤

Provider Name / Credentials Updated April 10, 2017

Recorded as JACK PINES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2017

Surgery (License #ME 48050 in FL)

✅

NPI Profile Active June 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2016

Registered at 2500 E HALLANDALE BEACH BLVD, SUITE PH-2, HALLANDALE BEACH, FL 330094834 (Tel: 9544566500)

📍

Updated Business Mailing Address June 08, 2016

Registered at 2234 COLONIAL BLVD, MANAGED CARE DEPT, FORT MYERS, FL 339071412 (Tel: 2399317342)

👤

Provider Name / Credentials Updated June 08, 2016

Recorded as JACK PINES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2016

Surgery (License #ME 48050 in FL)

🟢

Initial NPI Registration & Enumeration April 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Jack Pines. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1285699447

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 19, 2006

Last Update: April 10, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2234 Colonial Blvd, Managed Care Dept

Fort Myers, FL 339071412

Phone: 2399317342

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.