ANNETTE M ST PIERRE MACKOUL MD PA
NPI 1659679561
Pediatrics in Fort Myers, FL

Active since March 02, 2011
8530 GRANITE CT, FORT MYERS, FL 33908(239) 415-1131(239) 415-1136 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Annette M St Pierre Mackoul Md Pa NPPES

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

ANNETTE M ST PIERRE MACKOUL MD PA (NPI 1659679561) is a healthcare organization registered as a pediatrics in Fort Myers, Florida and active in the NPI registry since March 2011. The organization lists Liset Fleitas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1659679561
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameANNETTE M ST PIERRE MACKOUL MD PA
Location Address8530 GRANITE CTFort Myers, FL 33908-4102
Mailing Address8530 Granite CtFort Myers, FL 33908-4102 · (239) 415-1131 · Fax (239) 415-1136
Fax(239) 415-1136
Organization SubpartNo
Authorized OfficialLiset FleitasOffice Manager · (239) 415-1131
Enumeration DateMarch 2, 2011
Last NPPES UpdateMay 28, 2020
NPPES CertifiedMay 28, 2020
NPI 1659679561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME67399
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8530 GRANITE CT, Fort Myers, FL 33908

Other Identifiers 4

Medicaid003463600FL
Medicaid000697700FL
Medicaid377085100FL
Medicaid024174700FL

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

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
8530 GRANITE CT
FORT MYERS, FL 33908

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 Annette M St Pierre Mackoul MD PA's NPI number?

The NPI number for Annette M St Pierre Mackoul MD PA is 1659679561. It was assigned to this organization in the NPPES registry on March 2, 2011.

Where is Annette M St Pierre Mackoul MD PA located?

Annette M St Pierre Mackoul MD PA is located at 8530 Granite Ct, Fort Myers, FL 33908. The listed phone number is (239) 415-1131.

What is Annette M St Pierre Mackoul MD PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Annette M St Pierre Mackoul MD PA accept?

Health plans from Molina Healthcare and Wellpoint list Annette M St Pierre Mackoul MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annette M St Pierre Mackoul MD PA was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.