| Soul Community Center Inc | |
|
8140 College Pkwy Ste 203 Fort Myers FL 33919-5169 | |
| (305) 244-6234 | |
| Not Available |
| Full Name | Soul Community Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8140 College Pkwy Ste 203, Fort Myers, Florida |
| Authorized Official Name and Position | Hector Perez Gonzalez (CEO) |
| Authorized Official Contact | 3052446234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Community Center Inc 8140 College Pkwy Ste 203 Fort Myers FL 33919-5169 Ph: (305) 244-6234 | Soul Community Center Inc 8140 College Pkwy Ste 203 Fort Myers FL 33919-5169 Ph: (305) 244-6234 |
| NPI Number | 1942022538 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942022538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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