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6811 Porto Fino Cir Fort Myers FL 33912-4354 | |
| (239) 288-2218 | |
| (239) 791-5526 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation |
| Location | 6811 Porto Fino Cir, Fort Myers, Florida |
| Authorized Official Name and Position | James Bolger (OWNER) |
| Authorized Official Contact | 2399080899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 151850 Cape Coral FL 33915-1850 Ph: (239) 908-0899 | 6811 Porto Fino Cir Fort Myers FL 33912-4354 Ph: (239) 288-2218 |
| NPI Number | 1306359617 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 12/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306359617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | CH11936 (Florida) | Primary |
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 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |