Provider Demographics
NPI: | 1073515870 |
---|---|
Name: | RHEE, ANN (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | ANN |
Middle Name: | |
Last Name: | RHEE |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 9021 PARK ROYAL DR |
Mailing Address - Street 2: | |
Mailing Address - City: | FORT MYERS |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33908-9617 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 239-432-5858 |
Mailing Address - Fax: | 239-482-7528 |
Practice Address - Street 1: | 9021 PARK ROYAL DR |
Practice Address - Street 2: | |
Practice Address - City: | FORT MYERS |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33908-9617 |
Practice Address - Country: | US |
Practice Address - Phone: | 239-432-5858 |
Practice Address - Fax: | 239-482-7528 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-08-11 |
Last Update Date: | 2024-06-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | ME166348 | 207V00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
OH | 000000209362 | Other | ANTHEM |
OH | 03872 | Other | PARAMOUNT |
OH | 07-03102 | Other | UHC |
OH | 2556665 | Other | AETNA |
OH | 2207712 | Medicaid | |
OH | 160051807 | Other | RRMC |
OH | 000000209362 | Other | ANTHEM |
OH | 160051807 | Other | RRMC |