Cape Coral Integrated Medical | |
1413 Viscaya Pkwy, Cape Coral, FL 33990-6206 | |
(239) 458-5747 | |
(239) 984-5365 |
Full Name | Cape Coral Integrated Medical |
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Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 1413 Viscaya Pkwy, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255932703 | NPI | - | NPPES |
Provider Name | Ronald I Jacoby |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346269669 PECOS PAC ID: 5193985737 Enrollment ID: I20120320000140 |
Provider Name | Mario Amaury Cartaya Diaz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932669504 PECOS PAC ID: 6901219252 Enrollment ID: I20210106002192 |
Provider Name | Justin D Dempsey |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982016747 PECOS PAC ID: 4981829215 Enrollment ID: I20210209000297 |
Provider Name | Michael Patrick Durham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760092605 PECOS PAC ID: 2163821745 Enrollment ID: I20210602001196 |
Provider Name | Sandra M Figueroa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497327837 PECOS PAC ID: 1153727813 Enrollment ID: I20210902003307 |
Provider Name | Claudia Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588336218 PECOS PAC ID: 5799166070 Enrollment ID: I20220718002443 |
Provider Name | Jordyn Bodkin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104543404 PECOS PAC ID: 2264800812 Enrollment ID: I20221201002589 |
Mailing Address | Practice Location Address |
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Cape Coral Integrated Medical 1413 Viscaya Pkwy, Cape Coral, FL 33990-6206 Ph: (239) 458-5747 | Cape Coral Integrated Medical 1413 Viscaya Pkwy, Cape Coral, FL 33990-6206 Ph: (239) 458-5747 |