Individual provider · NPI-1

Dr. Fernando Ricardo Betancourt, M.D.

Obstetrics & Gynecology, Gynecology · Fort Myers, FL

NPI number1649476300
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1649476300
Entity type
Individual (NPI-1)
Name
Dr. Fernando Ricardo Betancourt
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 21, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, GynecologyME 92882FLYes

Practice location

3900 Broadway
Bldg C
Fort Myers, FL 33901-8193

Phone 239-936-4494

Mailing address

3900 Broadway
Bldg C
Fort Myers, FL 33901-8193

Phone 239-936-4494

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