The Mcgregor Clinic, Inc | |
3487 Broadway Fort Myers FL 33901-7213 | |
(239) 334-9555 | |
(239) 334-2832 |
Full Name | The Mcgregor Clinic, Inc |
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Speciality | Clinic/Center |
Location | 3487 Broadway, Fort Myers, Florida |
Authorized Official Name and Position | Bert Thomas Hammond (CEO) |
Authorized Official Contact | 2393349555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Mcgregor Clinic, Inc 3487 Broadway Fort Myers FL 33901-7213 Ph: (239) 334-9555 | The Mcgregor Clinic, Inc 3487 Broadway Fort Myers FL 33901-7213 Ph: (239) 334-9555 |
NPI Number | 1518065440 |
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Provider Enumeration Date | 09/21/2006 |
Last Update Date | 01/20/2022 |
Medicare PECOS PAC ID | 7810164688 |
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Medicare Enrollment ID | O20120118000831 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518065440 | NPI | - | NPPES |
256844600 | Medicaid | FL | |
034993639 | Other | FL | DUNS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Kelly J Rios |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568658383 PECOS PAC ID: 5698930741 Enrollment ID: I20140806001345 |
Provider Name | Derek W Dewitt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053753137 PECOS PAC ID: 8022236496 Enrollment ID: I20140826002537 |
Provider Name | John-paul Bettencourt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598025462 PECOS PAC ID: 9133429400 Enrollment ID: I20221014002232 |
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-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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