Active NPI
Judith Toffel-Liccini, M.D.
- Pediatrics Physician
- Fort Myers, FL
National Provider Identifier
1538354089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME105874
- Practice address
- 20 Carrotwood CT
Fort Myers, FL 33919-7531 - Phone
- (239) 939-3509
- Fax
- (239) 939-3509
- NPI assigned
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME105874 | FL | Primary |
Addresses
Primary practice location
20 Carrotwood CT
Fort Myers, FL 33919-7531
Mailing address
20 Carrotwood CT
Fort Myers, FL 33919-7531
Phone (239) 939-3509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME105874 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1538354089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CARROTWOOD CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339197531",
"telephone_number": "239-939-3509",
"fax_number": "239-939-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CARROTWOOD CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339197531",
"telephone_number": "239-939-3509",
"fax_number": "239-939-3509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOFFEL-LICCINI",
"first_name": "JUDITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME105874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.