| Lch FM Colonial | |
|
8960 Colonial Center Dr Ste 300 Fort Myers FL 33905-7810 | |
| (239) 343-9470 | |
| (239) 343-9498 |
| Full Name | Lch FM Colonial |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 8960 Colonial Center Dr Ste 300, Fort Myers, Florida |
| Authorized Official Name and Position | Steven Boren (CREDENTIAL SPECIALIST) |
| Authorized Official Contact | 2394241479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lch FM Colonial Po Box 2147 Fort Myers FL 33902-2147 Ph: (393) 439-4702 | Lch FM Colonial 8960 Colonial Center Dr Ste 300 Fort Myers FL 33905-7810 Ph: (239) 343-9470 |
| NPI Number | 1316720626 |
|---|---|
| Provider Enumeration Date | 08/18/2023 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316720626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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