Jacqueline Payne, D.O.
Family Medicine in Cape Coral, FL. Individual provider (NPI-1).
NPI number1245308048
StatusActive
Last updated in NPPESJul 11, 2023
Details
- NPI
- 1245308048
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Payne
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2006
- Certification date
- Jul 11, 2023
- Last updated
- Jul 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036099212 | IL | Yes |
Practice location
3571 Del Prado Blvd N Ste 2Cape Coral, FL 33909-5287
Phone 239-656-6300 · Fax 239-656-6765
Mailing address
2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342
Phone 877-856-3774 · Fax 239-656-6765
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