Provider Demographics
NPI:1710140744
Name:ARGUELLES, ELIZABETH ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:ARGUELLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:VAN IPEREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2160 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING AND RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1410
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:820 GOODLETTE RD N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5445
Practice Address - Country:US
Practice Address - Phone:239-430-3260
Practice Address - Fax:844-772-7328
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238165208600000X
FLME126141208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0079629OtherCIGNA
FLP01796209OtherCLEAR HEALTH ALLIANCE
FL149Y5OtherBCBS
FL389649OtherAVMED
FLP971450OtherOPTIMUM
FLP974228OtherOPTIMUM
FL1039296OtherFREEDOM
NY03017723Medicaid
FL1250272OtherWELLCARE
FL9769212OtherAETNA
FLIVBSIOtherBCBS
FLP1035656OtherFREEDOM
FL016435200Medicaid
FLP01598275OtherRR MEDICARE
FL2169028OtherWELLCARE
FLP01598275OtherRR MEDICARE
FL2169028OtherWELLCARE