DR. MAGALI VAN DEN BERGH (NPI# 1568717544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568717544 |
| Entity Type | Individual |
| Full Name | DR. MAGALI VAN DEN BERGH |
| Credential | M.D. |
| Practice Address |
8260 Gladiolus Dr Fort Myers FL 33908 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credentialing Fort Myers FL 33916-2216 |
| Practice Telephone | 2394375755 |
| Practice Fax Number | 2394375776 |
| Mailing Telephone | 2392748200 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME136601 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
8260 GLADIOLUS DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960384 | Ashok Bapat | Specialist | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2005-05-24 |
| 1790391225 | Claribeth Jimenez Bastien | Nurse Practitioner | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2020-09-21 |
| 1316593304 | Aliena Gomes | Physician Assistant | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2019-08-14 |
| 1891276846 | Kimberly Santo | Physician Assistant | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2018-08-28 |
| 1275048290 | Amanda Marie Tezyk | Nurse Practitioner | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2017-12-13 |
| 1477063741 | Julissa Taveras | Nurse Practitioner | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2017-10-02 |
| 1770015638 | Edward Green | Nurse Practitioner | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2017-03-30 |
| 1114463791 | Bindu Asok Kumar | Nurse Practitioner | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2017-01-06 |
| 1043667280 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2016-05-18 |
| 1699194928 | Ahsan Ullah Shah | Internal Medicine | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2014-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295094332 | A. Dosoretz, Md Prof. Corp. | Internal Medicine | 2160 Colonial Blvd, Fort Myers, FL 33907-1410 | 2012-05-10 |
| 1811909070 | Bhanuprasad Koneru | Internal Medicine | 12781 World Plaza Ln, Suite 1, Fort Myers, FL 33907-4078 | 2006-08-13 |
| 1861454696 | Ananth Krishnan Iyer | Internal Medicine | 4371 Veronica S Shoemaker Blvd, Attn: Credentialing, Fort Myers, FL 33916-2216 | 2006-04-05 |
| 1861483166 | Brian K. Kim | Internal Medicine | 3840 Broadway, Fort Myers, FL 33901-8108 | 2005-11-04 |
| 1265929723 | American Oncology Partners, P.a. | Internal Medicine | 9160 Forum Corporate Pkwy Ste 350, Fort Myers, FL 33905 | 2018-04-19 |
| 1538575410 | Ocala Oncology Center Pl | Internal Medicine | 8140 College Pkwy, Suite 101, Fort Myers, FL 33919-5188 | 2014-07-11 |
| 1265722060 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 8931 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7809 | 2011-04-13 |
| 1740477595 | Lee Cancer Clinic Pllc | Internal Medicine | 12781 World Plaza Ln, Unit 1, Fort Myers, FL 33907-4078 | 2007-09-26 |
| 1811187909 | Syed Farhan Zafar | Internal Medicine | 3840 Broadway, Florida Cancer Specialists P L, Fort Myers, FL 33901-8108 | 2007-07-26 |
| 1972669711 | Florida Cancer Specialists P L | Internal Medicine | 4371 Veronica S Shoemaker Blvd, Fort Myers, FL 33916-2216 | 2006-12-28 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on DR. MAGALI VAN DEN BERGH.
| 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.