Provider Demographics
NPI:1073585501
Name:ATKINSON, TODD STERLING (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:STERLING
Last Name:ATKINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8710 COLLEGE PKWY
Mailing Address - Street 2:
Mailing Address - City:FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-4811
Mailing Address - Country:US
Mailing Address - Phone:239-482-8788
Mailing Address - Fax:239-482-1566
Practice Address - Street 1:8710 COLLEGE PKWY
Practice Address - Street 2:
Practice Address - City:FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-4811
Practice Address - Country:US
Practice Address - Phone:239-482-8788
Practice Address - Fax:239-482-1566
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90730207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH87803Medicare UPIN
48040ZMedicare ID - Type Unspecified