| Allied Medical Of Sw Florida Inc. | |
|
2503 Del Prado Blvd S Ste 510 Cape Coral FL 33904-5709 | |
| (239) 319-3933 | |
| Not Available |
| Full Name | Allied Medical Of Sw Florida Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2503 Del Prado Blvd S Ste 510, Cape Coral, Florida |
| Authorized Official Name and Position | Amy L Gonzalez (PRESIDENT) |
| Authorized Official Contact | 4072880598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Medical Of Sw Florida Inc. 2503 Del Prado Blvd S Ste 510 Cape Coral FL 33904-5709 Ph: (239) 319-3933 | Allied Medical Of Sw Florida Inc. 2503 Del Prado Blvd S Ste 510 Cape Coral FL 33904-5709 Ph: (239) 319-3933 |
| NPI Number | 1235695941 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235695941 | NPI | - | NPPES |
| 1063470540 | Medicaid | FL | |
| 1275013120 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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