| Sw Florida Medical Group Llc | |
|
3637 Del Prado Blvd S Ste 305 Cape Coral FL 33904-7199 | |
| (239) 269-8767 | |
| Not Available |
| Full Name | Sw Florida Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3637 Del Prado Blvd S Ste 305, Cape Coral, Florida |
| Authorized Official Name and Position | Tomas Toledo (PRESIDENT) |
| Authorized Official Contact | 2392698767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sw Florida Medical Group Llc 3637 Del Prado Blvd S Ste 305 Cape Coral FL 33904-7199 Ph: (239) 269-8767 | Sw Florida Medical Group Llc 3637 Del Prado Blvd S Ste 305 Cape Coral FL 33904-7199 Ph: (239) 269-8767 |
| NPI Number | 1558969139 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/27/2021 |
| Medicare PECOS PAC ID | 1153739933 |
|---|---|
| Medicare Enrollment ID | O20210415001016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558969139 | NPI | - | NPPES |
| Provider Name | Seth Monaco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235571225 PECOS PAC ID: 6709175904 Enrollment ID: I20160511001023 |
| Provider Name | Ike A Boka |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205944931 PECOS PAC ID: 4587846217 Enrollment ID: I20200529002027 |
| Provider Name | Yaima Mendez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730753468 PECOS PAC ID: 5597101139 Enrollment ID: I20240306001567 |
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