| Lighthouse Family Care | |
|
9400 Gladiolus Dr Ste 50 Fort Myers FL 33908 | |
| (239) 437-7070 | |
| (239) 437-9022 |
| Full Name | Lighthouse Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 9400 Gladiolus Dr, Fort Myers, Florida |
| Authorized Official Name and Position | Ileana Bracete Sosa (ADMINISTRATOR) |
| Authorized Official Contact | 2394660600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Family Care 9400 Gladiolus Dr Ste 50 Fort Myers FL 33908 Ph: (239) 437-7070 | Lighthouse Family Care 9400 Gladiolus Dr Ste 50 Fort Myers FL 33908 Ph: (239) 437-7070 |
| NPI Number | 1972618197 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972618197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME59779 (Florida) | Primary |
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