| 360 Medical Centers Llc | |
|
3677 Central Ave Fort Myers FL 33901-8226 | |
| (239) 900-4384 | |
| Not Available |
| Full Name | 360 Medical Centers Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3677 Central Ave, Fort Myers, Florida |
| Authorized Official Name and Position | Sahily Eva Escalar (PRESIDENT) |
| Authorized Official Contact | 2399004384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Medical Centers Llc 3677 Central Ave Ste B Fort Myers FL 33901-8226 Ph: (239) 900-4384 | 360 Medical Centers Llc 3677 Central Ave Fort Myers FL 33901-8226 Ph: (239) 900-4384 |
| NPI Number | 1033863196 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 1658752753 |
|---|---|
| Medicare Enrollment ID | O20220720004020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033863196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jose E Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548506553 PECOS PAC ID: 9234438961 Enrollment ID: I20160502002404 |
| Provider Name | Sahily Eva Escalar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821755331 PECOS PAC ID: 6709270473 Enrollment ID: I20220222001853 |
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