Annette M St Pierre Mackoul Md Pa
Pediatrics
Annette M St Pierre Mackoul Md Pa is a Fort Myers, Florida based Pediatric center with medical specialization in
General Pediatrics.
It is located at
8530 Granite Ct, Fort Myers, Florida - 33908-4102. They can be contacted on phone at
239-415-1131 and fax number 239-415-1136.
NPI number (Unique professional ID) for Annette M St Pierre Mackoul Md Pa is
1659679561 which was assigned by NPPES on 02 Mar, 2011 and it was last updated on 28 May, 2020.
Annette M St Pierre Mackoul Md Pa license number is
ME67399 for Pediatrics (208000000X) in Florida.
Annette M St Pierre Mackoul Md Pa is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Annette M St Pierre Mackoul Md Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Annette M St Pierre Mackoul Md Pa |
|---|
Business Address:
Annette M St Pierre Mackoul Md Pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8530 Granite Ct
Fort Myers, FL, 33908-4102
United States |
|---|
| Phone Number : | 239-415-1131 |
|---|
| Fax Number : | 239-415-1136 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659679561 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 02 Mar, 2011 |
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| Last Updated On : | 28 May, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Liset Fleitas |
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| Official Title or Position : | OFFICE MANAGER |
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| Phone Number : | 239-415-1131 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Annette M St Pierre Mackoul Md Pa are as mentioned. Primary taxonomy code for Annette M St Pierre Mackoul Md Pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME67399 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Annette M St Pierre Mackoul Md Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003463600 | MEDICAID | FL | |
| 000697700 | MEDICAID | FL | |
| 377085100 | MEDICAID | FL | |
| 024174700 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8530 Granite Ct
Fort Myers, FL, 33908-4102
United States |
|---|
| Phone Number : | 239-415-1131 |
|---|
| Fax Number : | 239-415-1136 |
|---|
Business Location:
Patients can refer following map for directions to
Annette M St Pierre Mackoul Md Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.