| Impact For Developmental Education, Inc | |
|
1650 Medical Lane Suite 4 Fort Myers FL 33907-1116 | |
| (239) 334-6160 | |
| (239) 334-1339 |
| Full Name | Impact For Developmental Education, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1650 Medical Lane Suite 4, Fort Myers, Florida |
| Authorized Official Name and Position | Kathy S Beeler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2393346160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact For Developmental Education, Inc P.o. Box 51319 Fort Myers FL 33994-1119 Ph: (239) 334-6160 | Impact For Developmental Education, Inc 1650 Medical Lane Suite 4 Fort Myers FL 33907-1116 Ph: (239) 334-6160 |
| NPI Number | 1386368801 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386368801 | NPI | - | NPPES |
| 105037500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
Lch- Peds Page Field Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lch-internal Medicine Matthew Drive Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |