Mcgregor Medical And Wellness,llc | |
16731 Mcgregor Blvd Ste 105 Fort Myers FL 33908-3876 | |
(276) 336-0842 | |
Not Available |
Full Name | Mcgregor Medical And Wellness,llc |
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Speciality | Clinic/Center |
Location | 16731 Mcgregor Blvd Ste 105, Fort Myers, Florida |
Authorized Official Name and Position | May Joy David Lim (OWNER) |
Authorized Official Contact | 2763360842 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcgregor Medical And Wellness,llc 581 Oceanside Blvd Indialantic FL 32903-1835 Ph: (276) 336-0842 | Mcgregor Medical And Wellness,llc 16731 Mcgregor Blvd Ste 105 Fort Myers FL 33908-3876 Ph: (276) 336-0842 |
NPI Number | 1487039723 |
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Provider Enumeration Date | 07/28/2015 |
Last Update Date | 07/28/2015 |
Medicare PECOS PAC ID | 6709195340 |
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Medicare Enrollment ID | O20151021001036 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487039723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | ME110139 (Florida) | Primary |
Provider Name | Bill R Fulk |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043315468 PECOS PAC ID: 8527193846 Enrollment ID: I20100311000862 |
Provider Name | May Joy D Lim |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376746677 PECOS PAC ID: 1951481548 Enrollment ID: I20120615000150 |
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