| Complete Physical Medicine, Llc | |
|
6811 Porto Fino Cir Fort Myers FL 33912-4354 | |
| (239) 288-2218 | |
| (239) 791-5526 |
| Full Name | Complete Physical Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation |
| Location | 6811 Porto Fino Cir, Fort Myers, Florida |
| Authorized Official Name and Position | James Bolger (OWNER) |
| Authorized Official Contact | 2399080899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Physical Medicine, Llc Po Box 151850 Cape Coral FL 33915-1850 Ph: (239) 908-0899 | Complete Physical Medicine, Llc 6811 Porto Fino Cir Fort Myers FL 33912-4354 Ph: (239) 288-2218 |
| NPI Number | 1306359617 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 12/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306359617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | CH11936 (Florida) | Primary |
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