| Children's Network Southwest Florida, Llc | |
|
2180 W First St Ste 400 Fort Myers FL 33901-3217 | |
| (239) 226-1524 | |
| Not Available |
| Full Name | Children's Network Southwest Florida, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2180 W First St Ste 400, Fort Myers, Florida |
| Authorized Official Name and Position | Dennis C Andrews (CFO) |
| Authorized Official Contact | 2392261524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Network Southwest Florida, Llc 2232 Altamont Ave Fort Myers FL 33901-3561 Ph: (239) 226-1524 | Children's Network Southwest Florida, Llc 2180 W First St Ste 400 Fort Myers FL 33901-3217 Ph: (239) 226-1524 |
| NPI Number | 1407050214 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 04/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407050214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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