DR. WILLIAM J CARRACINO (NPI# 1861495079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861495079 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM J CARRACINO |
| Credential | M.D. |
| Practice Address |
13340 Metro Parkway Suite 400 Fort Myers FL 33966 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393431290 |
| Practice Fax Number | 2393434008 |
| Mailing Telephone | 2393431290 |
| Mailing Fax Number | 2393434008 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME0069362 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 258413100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13601 Plantation Rd, Fort Myers, FL 339124437 | 2394241400 | 2394241421 |
| Street Address |
13340 METRO PARKWAY SUITE 400 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255850673 | Jess Itzikowitz | Physician Assistant | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2017-09-18 |
| 1760860126 | Ryan Ress | Nurse Practitioner | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2015-05-18 |
| 1821350539 | Nemalan Selvaraj | Internal Medicine | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2012-06-10 |
| 1386917789 | Jean Ernest Hage | Internal Medicine | 13340 Metro Parkway, Suite 310, Fort Myers, FL 33966-4703 | 2012-02-15 |
| 1053698266 | Bradley Klement | Physician Assistant | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2011-11-16 |
| 1467635623 | Elena Gatskevich | Internal Medicine | 13340 Metro Parkway, Suite 310, Fort Myers, FL 33966 | 2007-12-11 |
| 1689782377 | Silvia Maria Velasquez | Internal Medicine | 13340 Metro Parkway, Suite 310, Fort Myers, FL 33966 | 2006-08-25 |
| 1932155512 | Murali Mohan Raju Muppala | Internal Medicine | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2006-05-26 |
| 1083682538 | Brian K Arcement | Internal Medicine | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966 | 2006-03-10 |
| 1417925967 | Vladimir Ilic | Internal Medicine | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2006-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1932646171 | Jose M Butron | Behavioral Analyst | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 | 2017-01-26 |
| 1003276833 | Katia Jasmin Robinson Lucero | Social Worker | 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 | 2016-03-07 |
| 1578947610 | Christian Milanes | Dentist | 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 | 2015-07-18 |
| 1003166273 | Reetane Singh | Dentist | 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 | 2012-09-14 |
| 1518216159 | Lee Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 10140 Deer Run Farms Road, Fort Myers, FL 33966 | 2012-08-29 |
| 1033482724 | Planned Parenthood of Southwest and Central Florida Inc. | Obstetrics & Gynecology | 6418 Commerce Park Drive, Fort Myers, FL 33966 | 2012-02-11 |
| 1013292291 | J Kru Therapy LLC Dba Focus | Physical Therapist | 4997 Royal Gulf Cir, Fort Myers, FL 33966 | 2011-10-19 |
| 1528354651 | American In-home Care, LLC | Home Health | 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 | 2011-06-27 |
| 1811219256 | Vera Marie Rosado-odom | Internal Medicine | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 | 2010-02-26 |
| Find all providers in zip 33966 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1134407737 | Douglas A Newland Md Pa | Psychiatry & Neurology | 2780 Cleveland Ave Ste 810, Fort Myers, FL 33901-5817 | 2011-07-30 |
| 1376634246 | Schwartz and Schwartz Mdpa | Psychiatry & Neurology | 38 Barkley Cir, Suite 2, Fort Myers, FL 33907-7526 | 2006-09-27 |
| 1700802311 | Naili Duan | Psychiatry & Neurology | 9730 Commerce Center Ct, Fort Myers, FL 33908-3615 | 2006-07-15 |
| 1992774327 | Nima Mowzoon | Psychiatry & Neurology | 9110 College Pointe Court, Fort Myers, FL 33919 | 2006-03-16 |
| 1982673091 | Douglas Alan Newland | Psychiatry & Neurology | 13601 Plantation Rd Ste 3, Fort Myers, FL 33912-4437 | 2006-03-14 |
| 1881684074 | Shubhangi Atul Chumble | Psychiatry & Neurology | 9110 College Pointe Ct, Fort Myers, FL 33919 | 2005-10-27 |
| 1437151172 | Edward Lebretta Davis | Psychiatry & Neurology | 6100 Winkler Rd, Suite C, Fort Myers, FL 33919-8126 | 2005-08-12 |
| 1902805856 | David B Sudderth | Psychiatry & Neurology | 3210 Cleveland Ave, Suite 100, Fort Myers, FL 33901-7182 | 2005-07-21 |
| 1417950635 | Chris J Marino | Psychiatry & Neurology | 12670 Whitehall Dr, Fort Myers, FL 33907-3619 | 2005-05-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33966 |
Please comment or provide details below to improve the information on DR. WILLIAM J CARRACINO.
| 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.