Prime Life Health Llc | |
2621 Cleveland Ave Fort Myers FL 33901-5802 | |
(813) 874-1509 | |
Not Available |
Full Name | Prime Life Health Llc |
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Speciality | Family Medicine |
Location | 2621 Cleveland Ave, Fort Myers, Florida |
Authorized Official Name and Position | Orlando S Rangel (MANAGING MEMBER) |
Authorized Official Contact | 8138741509 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prime Life Health Llc 3411 W Tampa Bay Blvd Tampa FL 33607-6619 Ph: (813) 874-1509 | Prime Life Health Llc 2621 Cleveland Ave Fort Myers FL 33901-5802 Ph: (813) 874-1509 |
NPI Number | 1144083577 |
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Provider Enumeration Date | 01/30/2024 |
Last Update Date | 01/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144083577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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