| Medical Services Of Sw Fl Llc | |
|
6311 S Pointe Blvd Ste 300 Fort Myers FL 33919-4901 | |
| (239) 689-4036 | |
| (239) 689-4056 |
| Full Name | Medical Services Of Sw Fl Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6311 S Pointe Blvd Ste 300, Fort Myers, Florida |
| Authorized Official Name and Position | Adriana Loukanova (MD) |
| Authorized Official Contact | 2399808701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Services Of Sw Fl Llc 6311 S Pointe Blvd Ste 300 Fort Myers FL 33919-4901 Ph: (239) 689-4036 | Medical Services Of Sw Fl Llc 6311 S Pointe Blvd Ste 300 Fort Myers FL 33919-4901 Ph: (239) 689-4036 |
| NPI Number | 1710471636 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 10/17/2018 |
| Medicare PECOS PAC ID | 1355695529 |
|---|---|
| Medicare Enrollment ID | O20181107002176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710471636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Adriana Mirtch Loukanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144217456 PECOS PAC ID: 7618926015 Enrollment ID: I20050112000751 |
| Provider Name | Milena M Loukanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114927696 PECOS PAC ID: 8921294398 Enrollment ID: I20101124000341 |
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