PAUL MANTELL (NPI# 1346240488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346240488 |
| Entity Type | Individual |
| Full Name | PAUL MANTELL |
| Credential | M.D. |
| Practice Address |
1569 Matthew Dr Ft Myers FL 33907-1734 |
| Mailing Address |
Po Box 2147 Ft Myers FL 33902-2147 |
| Practice Telephone | 2393438220 |
| Mailing Telephone | 2393438220 |
| Mailing Fax Number | 2393438221 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME41895 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 370478500 | 05 |
| Street Address |
1569 MATTHEW DR |
| City | FT MYERS |
| State | FL |
| Zip Code | 33907-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164410577 | Tina Wood | Nurse Practitioner | 1569 Matthew Dr, Ft Myers, FL 33907 | 2005-10-10 |
| 1295722734 | Patrick Bowman | Internal Medicine | 1569 Matthew Dr, Ft Myers, FL 33907-1734 | 2005-09-30 |
| 1487654430 | George Ball | Internal Medicine | 1569 Matthew Dr, Ft Myers, FL 33907 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265477590 | David Lee West | Internal Medicine | 9722 Commerce Center Ct, Ft Myers, FL 33908-3607 | 2006-06-19 |
| 1275571572 | Robert M Haddad | Internal Medicine | 13861 Plantation Rd Unit 104, Ft Myers, FL 33912 | 2006-06-02 |
| 1013917202 | Diana C Young | Internal Medicine | 16271 Bass Rd, Ft Myers, FL 33908-3616 | 2005-07-28 |
| 1346588621 | Fort Myers Internal Medicine LLC | Internal Medicine | 13861 Plantation Rd Unit 104, Ft Myers, FL 33912 | 2013-01-22 |
| 1194776989 | Mary Magno Mouracade | Internal Medicine | 7981 Gladiolus Dr, Ft Myers, FL 33908-4154 | 2006-05-15 |
| 1811988660 | Aldith M Lewis | Internal Medicine | 9131 College Pointe Ct, Ft Myers, FL 33919 | 2005-11-01 |
| 1851389407 | Avra Helena Carpousis-bowers | Internal Medicine | 4771 S Cleveland Ave, Ft Myers, FL 33907-1317 | 2005-10-07 |
| 1295722734 | Patrick Bowman | Internal Medicine | 1569 Matthew Dr, Ft Myers, FL 33907-1734 | 2005-09-30 |
| 1619979572 | John Ardesia | Internal Medicine | 16271 Bass Rd, Ft Myers, FL 33908 | 2005-08-11 |
| 1487654430 | George Ball | Internal Medicine | 1569 Matthew Dr, Ft Myers, FL 33907 | 2005-07-29 |
| Find all providers in FT MYERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.