Basic Information
Provider Information
NPI: 1780885046
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BINDER
FirstName: WILLIAM
MiddleName: SCOTT
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1300 SAWGRASS CORPORATE PKWY STE 200
Address2:  
City: SUNRISE
State: FL
PostalCode: 333232823
CountryCode: US
TelephoneNumber: 8002433839
FaxNumber: 8555275510
Practice Location
Address1: 9981 S HEALTHPARK DR
Address2:  
City: FORT MYERS
State: FL
PostalCode: 339083618
CountryCode: US
TelephoneNumber: 2393439000
FaxNumber: 8555275510
Other Information
ProviderEnumerationDate: 05/31/2007
LastUpdateDate: 12/22/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080N0001XA90238CAN Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
2080N0001XME123890FLY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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