| Medcare | |
|
3900 Broadway Ave Ste A1 Fort Myers FL 33901-8197 | |
| (239) 789-1850 | |
| (239) 789-1481 |
| Full Name | Medcare |
|---|---|
| Speciality | Family Medicine |
| Location | 3900 Broadway Ave, Fort Myers, Florida |
| Authorized Official Name and Position | Michelle Uncal (CFO) |
| Authorized Official Contact | 7863439289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcare 3900 Broadway Ave Ste A1 Fort Myers FL 33901-8197 Ph: (239) 789-1850 | Medcare 3900 Broadway Ave Ste A1 Fort Myers FL 33901-8197 Ph: (239) 789-1850 |
| NPI Number | 1720631450 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720631450 | NPI | - | NPPES |
| L19000122649 | Other | FL | DOCUMENT NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 208D00000X | General Practice | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Secondary |
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