| Strength Provider Inc. | |
|
1140 Lee Blvd Lehigh Acres FL 33936-4800 | |
| (305) 494-4392 | |
| (888) 441-6806 |
| Full Name | Strength Provider Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1140 Lee Blvd, Lehigh Acres, Florida |
| Authorized Official Name and Position | Jean Gama Bmassanga (PRESIDENT) |
| Authorized Official Contact | 3054944392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strength Provider Inc. 1140 Lee Blvd Ste 111 Lehigh Acres FL 33936-4800 Ph: (305) 494-4392 | Strength Provider Inc. 1140 Lee Blvd Lehigh Acres FL 33936-4800 Ph: (305) 494-4392 |
| NPI Number | 1093257602 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 05/27/2024 |
| Certification Date | 05/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093257602 | NPI | - | NPPES |
| 685676496 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-02-0914 (Florida) | Primary |
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