Clinica Del Sol | |
4901 Palm Beach Blvd Unit 400 Fort Myers FL 33905-3235 | |
(239) 237-2133 | |
(239) 270-5107 |
Full Name | Clinica Del Sol |
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Speciality | Clinic/Center |
Location | 4901 Palm Beach Blvd Unit 400, Fort Myers, Florida |
Authorized Official Name and Position | Nadia Vazquez (PRESIDENT) |
Authorized Official Contact | 6028490089 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinica Del Sol 4901 Palm Beach Blvd Unit 400 Fort Myers FL 33905-3235 Ph: (602) 849-0089 | Clinica Del Sol 4901 Palm Beach Blvd Unit 400 Fort Myers FL 33905-3235 Ph: (239) 237-2133 |
NPI Number | 1689267346 |
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Provider Enumeration Date | 02/14/2021 |
Last Update Date | 05/24/2021 |
Medicare PECOS PAC ID | 7911315742 |
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Medicare Enrollment ID | O20210713002448 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689267346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Nadia D Vazquez Hidalgo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912491093 PECOS PAC ID: 1153731351 Enrollment ID: I20201029000019 |
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