Provider Demographics
NPI:1255379277
Name:FIGLESTHALER, WILLIAM MATTHEW (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MATTHEW
Last Name:FIGLESTHALER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11181 HEALTH PARK BLVD STE 1115
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-5742
Mailing Address - Country:US
Mailing Address - Phone:239-597-4440
Mailing Address - Fax:239-597-4441
Practice Address - Street 1:11181 HEALTH PARK BLVD STE 1115
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-5742
Practice Address - Country:US
Practice Address - Phone:239-597-4440
Practice Address - Fax:239-597-4441
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 71792208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1048874OtherCIGNA
FL45081OtherBCBS OF FL
FL005585300Medicaid
FL282597OtherAVMED
FL5357037OtherAETNA
FLP304254OtherFREEDOM HEALTH
FL10G241OtherHEALTHY KIDS
FL1048874OtherCIGNA
FL005585300Medicaid
FL45081ZMedicare PIN
FL45081OtherBCBS OF FL
FL340013790Medicare PIN