Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Raymond Paul Liccini, MD

Individual provider Interventional Cardiology Physician · NPI 1619969078

Dr. Raymond Paul Liccini, MD is a Cardiovascular Disease (Cardiology) in Fort Myers, Florida. Graduated from Harvard Medical School in 1989, 37 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
37
Trained at
Harvard Medical School
Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16261 Bass Rd Ste 300
Fort Myers, FL 33908
Phone: (239) 343-6410
Fax: (239) 343-4014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 12645 New Brittany Blvd, Fort Myers, FL 33907-3631 — (239) 936-2220
  • 12645 New Brittany Blvd, Fort Myers, FL 33907-3631 — (239) 936-2220

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence ME68201 (FL)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence ME68201 (FL)

Record details

NPI number1619969078
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 22, 2005
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesNUCLEAR MEDICINE
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 1989 (37 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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