DR. MAXIMILIAN R. PADILLA (NPI# 1235557166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235557166 |
| Entity Type | Individual |
| Full Name | DR. MAXIMILIAN R. PADILLA |
| Credential | M.D. |
| Practice Address |
13470 Parker Commons Blvd Ste 101 Fort Myers FL 33912-1850 |
| Mailing Address |
Po Box 7339 Fort Myers FL 33919-0339 |
| Practice Telephone | 2394157576 |
| Mailing Telephone | 2394157576 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME145486 | FL | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
ME145486 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
13470 PARKER COMMONS BLVD STE 101 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215482740 | Britten Stine | Registered Nurse | 13470 Parker Commons Blvd Ste 101, Fort Myers, FL 33912-1850 | 2016-08-25 |
| 1174984561 | Emily Laeser | Nurse Practitioner | 13470 Parker Commons Blvd Ste 101, Fort Myers, FL 33912-1850 | 2016-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871020669 | Fort Myers Medical Universer | Ophthalmology | 4531 Deleon St, Fort Myers, FL 33907-1278 | 2017-05-11 |
| 1821227331 | Jessica Jane Kovarik | Ophthalmology | 9800 S Healthpark Dr Ste 110, Fort Myers, FL 33908-3630 | 2009-07-06 |
| 1174659536 | Bradford S. Prokop | Ophthalmology | 11520 Compass Point Dr, Fort Myers, FL 33908-4926 | 2007-02-27 |
| 1770659856 | Southwest Florida Eye Care, L.l.c | Ophthalmology | 6850 International Cntr Blvd, Fort Myers, FL 33912-7129 | 2006-11-28 |
| 1396836037 | Florentino E Palmon | Ophthalmology | 6850 International Center Boulevard, Fort Myers, FL 33912-7129 | 2006-09-27 |
| 1437189701 | Vinod Bhavnani | Ophthalmology | 6810 Porto Fino Cir, Fort Myers, FL 33912-7140 | 2006-07-03 |
| 1356382725 | Ophthalmic Facial Plastic Surgery Specialists | Ophthalmology | 7331 College Parkway, Suite 200, Fort Myers, FL 33907 | 2006-06-09 |
| 1972550622 | Hussein Wafapoor | Ophthalmology | 1567 Hayley Ln, Suite 101, Fort Myers, FL 33907-2109 | 2006-05-28 |
| 1194777185 | Albert E Smolyar | Ophthalmology | 6850 International Center Blvd, Fort Myers, FL 33912 | 2006-05-17 |
| 1659340917 | Paul R Brown | Ophthalmology | 4225 Evans Ave, Fort Myers, FL 33901-9311 | 2006-03-17 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.