Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREW BOBY BANOONI, M.D.
Active Sole ProprietorDR. ANDREW BOBY BANOONI, M.D. is a Pain Medicine healthcare provider located in FORT MYERS, Florida. NPI 1275832529 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine · FORT MYERS, FL
Registration Details
- NPI Number
- 1275832529
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2011 (15.411851583453 yrs)
- Last Updated
- Mar 18, 2022
- Licenses
-
257217 (MA)4301110378 (MI)ME147571 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9981 S HEALTHPARK DR DEPT OFFORT MYERS, FL, 339083618Browse FL providers · Browse ZIP 33908
- Phone
- 2393435000
- Primary Specialty
-
Pain Medicine
207LP3000X
- Additional Specialty
- Pain Medicine
- Additional Specialty
- Pain Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.