| Southwest Florida Associates In Mental Health And Addictions, P.a. | |
|
12657 New Brittany Blvd Suite 12 Fort Meyers FL 33907-3631 | |
| (239) 940-1804 | |
| (239) 275-3964 |
| Full Name | Southwest Florida Associates In Mental Health And Addictions, P.a. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12657 New Brittany Blvd, Fort Meyers, Florida |
| Authorized Official Name and Position | Nicholas Charles Anthony (PRESIDENT) |
| Authorized Official Contact | 2399401804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Florida Associates In Mental Health And Addictions, P.a. 12657 New Brittany Blvd Suite 12 Fort Meyers FL 33907-3631 Ph: (239) 940-1804 | Southwest Florida Associates In Mental Health And Addictions, P.a. 12657 New Brittany Blvd Suite 12 Fort Meyers FL 33907-3631 Ph: (239) 940-1804 |
| NPI Number | 1689903650 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689903650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY0003960 (Florida) | Primary |