Adv an Ced Florida Medical Group, Corp.
NPI #1376993980 in Fort Myers, Florida
Provider Information
- NPI Number
- 1376993980
- Entity Type
- Organization
- Organization Name
- Adv an Ced Florida Medical Group, Corp.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 14, 2016
- Last Updated
- Sep 22, 2016
Practice Location
- Address
- 3900 BROADWAY STE D-9
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33901-8193
- Phone
- (239) 590-8570
Authorized Official
- Name
- ODALIS MAZA MOREJON
- Title
- PRESIDENT
- Phone
- (239) 590-8570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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