Female

Dr. Eileen C. Callaway M.D.

Family Medicine Physician in Fort Myers, FL(View on Map)

Full Name

Dr. Eileen Claire Callaway M.D.

NPI Number

1255751186

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/18/2014

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME131337

Contact
Information

Purpose

Mailing
Location

Address

10491 6 MILE CYPRESS PKWY STE 271
10491 6 MILE CYPRESS PKWY STE 271

City

Fort Myers
Fort Myers

State

FL
FL

Postal Code

33966-6518
33966-6518

Country

US
US

Telephone Number

(239) 215-3500
(239) 215-3500

Identifiers

Identifier

PNF4K
XGZN9
105682700
114316000

Identifier State

FL
FL
FL
FL

Identifier Issuer

FLORIDA BLUE - BCBS
FLORIDA BLUE - BCBS
Unknown
Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

eileen.callaway.1@26277.direct.athenahealth.com

Endpoint Description

Direct Address in EMR

Use

Direct

Content Type

CSV

Affiliation

N

Endpoint Location

10491 6 Mile Cypress Pkwy Ste 271Fort Myers, FL339666518US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/11/2023

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