Paradise Coast Pavilion, LLC
NPI 1598916611ActiveOrganization· Surgery, Vascular Surgery· Fort Myers, FL
Surgery, Vascular Surgery in Fort Myers, Florida, registered in NPPES in October 2008. The authorized official on file is Keith L. Davis, M.D., Partner.
Overview
| NPI | 1598916611 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2008 |
| Last updated in NPPES | Oct 7, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | ME102815 | FL |
| Plastic Surgery | 208200000X | ME23742 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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