| Eastern Medical Fort Meyers | |
|
8900 Sw 24 St #202 Miami FL 33165 | |
| (305) 901-9551 | |
| (786) 618-5219 |
| Full Name | Eastern Medical Fort Meyers |
|---|---|
| Speciality | Family Medicine |
| Location | 8900 Sw 24 St #202, Miami, Florida |
| Authorized Official Name and Position | Christian S Dominguez (C.E.O) |
| Authorized Official Contact | 3059019551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Medical Fort Meyers 8900 Sw 24 St #202 Miami FL 33165 Ph: (305) 901-9551 | Eastern Medical Fort Meyers 8900 Sw 24 St #202 Miami FL 33165 Ph: (305) 901-9551 |
| NPI Number | 1013508878 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 02/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013508878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
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