| Florida Mens Vitality Center Inc | |
|
28901 Trails Edge Blvd Ste 202 Bonita Springs FL 34134-7588 | |
| (239) 220-1083 | |
| Not Available |
| Full Name | Florida Mens Vitality Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 28901 Trails Edge Blvd Ste 202, Bonita Springs, Florida |
| Authorized Official Name and Position | Paul Joseph Dejohn (PRESIDENT) |
| Authorized Official Contact | 2392201083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Mens Vitality Center Inc 28901 Trails Edge Blvd Ste 202 Bonita Springs FL 34134-7588 Ph: (239) 220-1083 | Florida Mens Vitality Center Inc 28901 Trails Edge Blvd Ste 202 Bonita Springs FL 34134-7588 Ph: (239) 220-1083 |
| NPI Number | 1598229536 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 01/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598229536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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