| Clear Choice Elder Health Care Solutions Llc | |
|
17861 Oakmont Ridge Cir Fort Myers FL 33967-7202 | |
| (239) 839-5904 | |
| (239) 362-3298 |
| Full Name | Clear Choice Elder Health Care Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17861 Oakmont Ridge Cir, Fort Myers, Florida |
| Authorized Official Name and Position | Matthew Howard Glass (MEMBER) |
| Authorized Official Contact | 2398395904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Choice Elder Health Care Solutions Llc 17861 Oakmont Ridge Cir Fort Myers FL 33967-7202 Ph: (239) 839-5904 | Clear Choice Elder Health Care Solutions Llc 17861 Oakmont Ridge Cir Fort Myers FL 33967-7202 Ph: (239) 839-5904 |
| NPI Number | 1326394784 |
|---|---|
| Provider Enumeration Date | 08/03/2012 |
| Last Update Date | 06/09/2014 |
| Medicare PECOS PAC ID | 2769601541 |
|---|---|
| Medicare Enrollment ID | O20140909001612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326394784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW 10707 (Florida) | Primary |
| Provider Name | Matthew H Glass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972859338 PECOS PAC ID: 6507018108 Enrollment ID: I20121205000529 |
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