| Elite Dna Therapy Services, Llc | |
|
2721 Del Prado Blvd S Suite 200 Cape Coral FL 33904-5781 | |
| (239) 673-9034 | |
| (239) 673-9102 |
| Full Name | Elite Dna Therapy Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2721 Del Prado Blvd S, Cape Coral, Florida |
| Authorized Official Name and Position | Elizabeth Dosoretz (CEO) |
| Authorized Official Contact | 2392232751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dna Therapy Services, Llc 4310 Metro Pkwy Ste 205 Fort Myers FL 33916-9416 Ph: (239) 236-8784 | Elite Dna Therapy Services, Llc 2721 Del Prado Blvd S Suite 200 Cape Coral FL 33904-5781 Ph: (239) 673-9034 |
| NPI Number | 1508231416 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508231416 | NPI | - | NPPES |
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