Provider Demographics
NPI:1477713964
Name:AUSTIN, JEAN-PHILIPPE (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN-PHILIPPE
Middle Name:
Last Name:AUSTIN
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 1:2234 COLONIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:21355 E DIXIE HWY
Practice Address - Street 2:SUITE 111
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1238
Practice Address - Country:US
Practice Address - Phone:305-692-1100
Practice Address - Fax:305-692-1111
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME492282085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4501206OtherAETNA
FL01435941OtherAMERIGROUP
FLP0003124OtherFLORIDA HEALTHCARE PLUS
FLP204506OtherOPTIMUM
FLQMP000003914341OtherMOLINA
FL20782OtherMEDICA
FL1869308OtherGHI
FL321616OtherAVMED
FL472237OtherWELLCARE
FL57874OtherHEALTH SUN HEALTH PLAN
FLP00940423OtherRAILROAD MCR
FL000451500Medicaid
FL12513OtherDIMENSION HEALTH
FL15224OtherBCBS FL
FL201365OtherUNIVERSAL HEALTHCARE
FLP119471OtherFREEDOM HEALTH
FL57874OtherHEALTH SUN HEALTH PLAN
FLP0003124OtherFLORIDA HEALTHCARE PLUS