| Physicians Regional Medical Group | |
|
24231 Walden Center Dr Ste 100 Estero FL 34134-5011 | |
| (239) 348-4005 | |
| (239) 947-4439 |
| Full Name | Physicians Regional Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 24231 Walden Center Dr Ste 100, Estero, Florida |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Regional Medical Group Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Physicians Regional Medical Group 24231 Walden Center Dr Ste 100 Estero FL 34134-5011 Ph: (239) 348-4005 |
| NPI Number | 1972171759 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972171759 | NPI | - | NPPES |
| 275883116 | Medicaid | FL |
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