Lch Family Medicine-cape Coral | |
1435 Se 8th Ter Suite E Cape Coral FL 33990-3289 | |
(239) 424-2757 | |
(239) 772-0186 |
Full Name | Lch Family Medicine-cape Coral |
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Speciality | Clinic/Center |
Location | 1435 Se 8th Ter, Cape Coral, Florida |
Authorized Official Name and Position | Benjamin Spence (CFO) |
Authorized Official Contact | 2393436014 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lch Family Medicine-cape Coral Po Box 2147 Fort Myers FL 33902-2147 Ph: (239) 424-1500 | Lch Family Medicine-cape Coral 1435 Se 8th Ter Suite E Cape Coral FL 33990-3289 Ph: (239) 424-2757 |
NPI Number | 1417304858 |
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Provider Enumeration Date | 05/16/2016 |
Last Update Date | 09/14/2023 |
Medicare PECOS PAC ID | 8729996608 |
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Medicare Enrollment ID | O20151230002084 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417304858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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