FREDDY GLENN FEIDANGA TEMODEA
NPI 1538812219
Technician in Fort Myers, FL

Active since February 01, 2022
4795 MIRAGE BAY CIR, UNIT 303, FORT MYERS, FL 33966(646) 474-4776 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Freddy Glenn Feidanga Temodea NPPES

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

FREDDY GLENN FEIDANGA TEMODEA (NPI 1538812219) is an individual technician provider in Fort Myers, Florida and active in the NPI registry since February 2022.Information from the official NPPES registry record, last updated February 1, 2022.

NPPES Registry Identity

NPI1538812219
Entity TypeIndividualMale
Provider Legal NameFREDDY GLENN FEIDANGA TEMODEA
Location Address4795 MIRAGE BAY CIR, UNIT 303Fort Myers, FL 33966-6656
Mailing Address4795 Mirage Bay Cir, Unit 303Fort Myers, FL 33966-6656 · (646) 474-4776
Sole ProprietorYes
Enumeration DateFebruary 1, 2022
NPPES CertifiedJanuary 28, 2022
NPI 1538812219 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Technician

Taxonomy 374700000X · Nursing Service Related Providers

(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An… Show more

4795 MIRAGE BAY CIR, Fort Myers, FL 33966

Also on File with NPPES

Other Identifiers1
102274800 (Medicaid, FL)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538812219, enumerated as an "individual" on February 01, 2022.

The provider is located at 4795 MIRAGE BAY CIR UNIT 303 FORT MYERS, FL 33966 and the phone number is (646) 474-4776.

Technician with taxonomy code 374700000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.