Active NPI
Fred a Liebowitz MD PA
- Pain Medicine (Anesthesiology) Physician
- Fort Myers, FL
National Provider Identifier
1265984124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME60344
- Legal business name
- FRED A LIEBOWITZ MD PA
- Practice address
- 6150 Diamond Centre CT
700-1
Fort Myers, FL 33912-4367 - Phone
- (239) 278-1000
- Fax
- (239) 278-0501
- NPI assigned
- Oct 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fred Allan Liebowitz, M.D.
- Title
- Physician Owner
- Phone
- (239) 278-1000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME60344 | FL | Primary |
Addresses
Primary practice location
6150 Diamond Centre CT
700-1
Fort Myers, FL 33912-4367
Mailing address
6150 Diamond Centre CT
700-1
Fort Myers, FL 33912-4367
Phone (239) 278-1000
Other names 1
- Headache and Pain Management Center of SWFL
National Provider Directory
National Provider DirectoryLocations
6150 Diamond Centre Ct
#7001
Fort Myers, FL 33912
Phone (239) 278-1000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine Physician
- Fort Myers, FL
- NPI 1801892633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477440000000",
"number": "1265984124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6150 DIAMOND CENTRE CT",
"address_2": "700-1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124367",
"telephone_number": "239-278-1000",
"fax_number": "239-278-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6150 DIAMOND CENTRE CT",
"address_2": "700-1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124367",
"telephone_number": "239-278-1000",
"fax_number": "239-278-0501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED A LIEBOWITZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A",
"authorized_official_last_name": "LIEBOWITZ",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "ALLAN",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "239-278-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME60344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Headache and Pain Management Center of SWFL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.