| Mouracade Recovery Medicine, Pllc | |
|
6290 Corporate Ct Ste C201 Fort Myers FL 33919-3503 | |
| (239) 406-6039 | |
| (239) 320-6796 |
| Full Name | Mouracade Recovery Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6290 Corporate Ct Ste C201, Fort Myers, Florida |
| Authorized Official Name and Position | Mary Margaret Magno Mouracade (PRINCIPAL) |
| Authorized Official Contact | 2392220700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mouracade Recovery Medicine, Pllc 6290 Corporate Ct Ste C201 Fort Myers FL 33919-3503 Ph: (239) 406-6039 | Mouracade Recovery Medicine, Pllc 6290 Corporate Ct Ste C201 Fort Myers FL 33919-3503 Ph: (239) 406-6039 |
| NPI Number | 1447619887 |
|---|---|
| Provider Enumeration Date | 02/13/2016 |
| Last Update Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447619887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME64887 (Florida) | Primary |
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