| Safety Adls Llc | |
|
2925 Academy Blvd Cape Coral FL 33904-3557 | |
| (954) 240-5921 | |
| Not Available |
| Full Name | Safety Adls Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2925 Academy Blvd, Cape Coral, Florida |
| Authorized Official Name and Position | Maria Gimena Fuquene (OWNER) |
| Authorized Official Contact | 9542405921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safety Adls Llc 2925 Academy Blvd Cape Coral FL 33904-3557 Ph: (954) 240-5921 | Safety Adls Llc 2925 Academy Blvd Cape Coral FL 33904-3557 Ph: (954) 240-5921 |
| NPI Number | 1255117842 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/07/2023 |
| Medicare PECOS PAC ID | 3971950239 |
|---|---|
| Medicare Enrollment ID | O20231108000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255117842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Maria Gimena Fuquene |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073900981 PECOS PAC ID: 8022401082 Enrollment ID: I20220215002061 |
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