| Altamira Community Center Llc | |
|
1500 Colonial Blvd Ste 216 Fort Myers FL 33907-1026 | |
| (786) 731-6492 | |
| Not Available |
| Full Name | Altamira Community Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1500 Colonial Blvd Ste 216, Fort Myers, Florida |
| Authorized Official Name and Position | Daysi Herrera Martinez (MANAGER) |
| Authorized Official Contact | 7865212072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Altamira Community Center Llc 12540 Ne 8th Ave North Miami FL 33161-4965 Ph: (786) 731-6492 | Altamira Community Center Llc 1500 Colonial Blvd Ste 216 Fort Myers FL 33907-1026 Ph: (786) 731-6492 |
| NPI Number | 1417695917 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 05/24/2022 |
| Certification Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417695917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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