Provider Demographics
NPI:1225401417
Name:MEDICAL AND DENTAL INSURANCE CLAIMS EXPERTS
Entity Type:Organization
Organization Name:MEDICAL AND DENTAL INSURANCE CLAIMS EXPERTS
Other - Org Name:MDICE
Other - Org Type:Other Name
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-337-9411
Mailing Address - Street 1:8191 COLLEGE PKWY
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-5190
Mailing Address - Country:US
Mailing Address - Phone:239-337-9411
Mailing Address - Fax:239-337-1400
Practice Address - Street 1:8191 COLLEGE PKWY
Practice Address - Street 2:SUITE 305
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-5190
Practice Address - Country:US
Practice Address - Phone:239-337-9411
Practice Address - Fax:239-337-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory ImmunologyGroup - Single Specialty