Bridge For The Life Health Service Llc | |
9405 Cypress Lake Dr Ste 2 Fort Myers FL 33919-0909 | |
(786) 290-8195 | |
Not Available |
Full Name | Bridge For The Life Health Service Llc |
---|---|
Speciality | Behavior Analyst |
Location | 9405 Cypress Lake Dr Ste 2, Fort Myers, Florida |
Authorized Official Name and Position | Mabel Peregrin Delgado (MBR) |
Authorized Official Contact | 7862908195 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bridge For The Life Health Service Llc 9405 Cypress Lake Dr Ste 2 Fort Myers FL 33919-0909 Ph: (786) 290-8195 | Bridge For The Life Health Service Llc 9405 Cypress Lake Dr Ste 2 Fort Myers FL 33919-0909 Ph: (786) 290-8195 |
NPI Number | 1659046647 |
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Provider Enumeration Date | 08/11/2021 |
Last Update Date | 08/11/2021 |
Certification Date | 08/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659046647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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