Immokalee Family Doctor's Clinic, LLC

NPI #1801157839 in Immokalee, Florida

Provider Information

NPI Number: 1801157839
Entity Type: Organization
Organization Name: Immokalee Family Doctor's Clinic, LLC
Primary Specialty: General Practice
Enumeration Date: Jun 6, 2012
Last Updated: Apr 25, 2022

Practice Location

Address: 555 N 15TH ST UNIT A
City: Immokalee
State: Florida
ZIP Code: 34142-2824
Phone: (239) 657-2779

Authorized Official

Name: ANDREA KEPPEL, MA
Title: OFFICE MANAGER
Phone: (239) 657-2779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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