R PAUL LICCINI MD LLC
NPI 1174588594
Internal Medicine - Interventional Cardiology in Fort Myers, FL

Q: What is R Paul Liccini MD LLC's NPI number?

The NPI number for R Paul Liccini MD LLC is 1174588594. It was assigned to this organization in the NPPES registry on April 19, 2006.

Q: What is R Paul Liccini MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since April 19, 2006

12645 NEW BRITTANY BLVD, BLDG 15, FORT MYERS, FL 33907(239) 936-2220(239) 936-2444 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About R Paul Liccini Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

R PAUL LICCINI MD LLC (NPI 1174588594) is a healthcare organization registered as an interventional cardiology in Fort Myers, Florida and active in the NPI registry since April 2006. The organization lists R. Paul Liccini, Owner, as its authorized official.

NPPES Registry Identity

NPI1174588594

Entity TypeOrganization

Primary Taxonomy207RI0011X

Legal Business NameR PAUL LICCINI MD LLC

Location Address12645 NEW BRITTANY BLVD, BLDG 15Fort Myers, FL 33907-3631

Mailing Address12645 New Brittany Blvd, Bldg 15Fort Myers, FL 33907-3631 · (239) 936-2220 · Fax (239) 936-2444

Phone(239) 936-2220

Fax(239) 936-2444

Organization SubpartNo

Authorized OfficialR. Paul LicciniOwner · (239) 936-2220

Enumeration DateApril 19, 2006

Last NPPES UpdateJuly 29, 2010

✔ NPI 1174588594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

12645 NEW BRITTANY BLVD, Fort Myers, FL 33907

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Other Identifiers 2

OtherDG1282FL · Rail Road Medicare

Medicare PINK4163FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R Paul Liccini MD LLC's NPI number?

The NPI number for R Paul Liccini MD LLC is 1174588594. It was assigned to this organization in the NPPES registry on April 19, 2006.

Where is R Paul Liccini MD LLC located?

R Paul Liccini MD LLC is located at 12645 New Brittany Blvd Bldg 15, Fort Myers, FL 33907. The listed phone number is (239) 936-2220.

What is R Paul Liccini MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for R Paul Liccini MD LLC was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.