| Providence Family Life Center Corporation | |
|
3592 Broadway Ste 100 Fort Myers FL 33901-8056 | |
| (239) 676-3159 | |
| (239) 519-9202 |
| Full Name | Providence Family Life Center Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3592 Broadway Ste 100, Fort Myers, Florida |
| Authorized Official Name and Position | Laura Kohler (BILLING SPECIALIST) |
| Authorized Official Contact | 8137207694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Family Life Center Corporation 3049 Cleveland Ave Fort Myers FL 33901-7041 Ph: (239) 676-3159 | Providence Family Life Center Corporation 3592 Broadway Ste 100 Fort Myers FL 33901-8056 Ph: (239) 676-3159 |
| NPI Number | 1326773045 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 07/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326773045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
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Lch- Peds Page Field Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lch-internal Medicine Matthew Drive Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
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