| Nelson L. Hadler, LLC | |
|
8192 College Pkwy Ste B52 Fort Myers FL 33919-5179 | |
| (973) 713-7951 | |
| Not Available |
| Full Name | Nelson L. Hadler, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 8192 College Pkwy Ste B52, Fort Myers, Florida |
| Authorized Official Name and Position | Nelson L Hadler (OWNER) |
| Authorized Official Contact | 9737137957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson L. Hadler, LLC 4118 Nw 11th Ter Cape Coral FL 33993-9144 Ph: (973) 713-7957 | Nelson L. Hadler, LLC 8192 College Pkwy Ste B52 Fort Myers FL 33919-5179 Ph: (973) 713-7951 |
| NPI Number | 1346764354 |
|---|---|
| Provider Enumeration Date | 08/01/2017 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Medicare PECOS PAC ID | 4284039934 |
|---|---|
| Medicare Enrollment ID | O20210819000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346764354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Nelson Lloyd Hadler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952748980 PECOS PAC ID: 6103253976 Enrollment ID: I20200218000949 |
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