Jade Clinic Family and Wellness Center Corp
NPI #1912587825 in Fort Myers, Florida
Provider Information
- NPI Number
- 1912587825
- Entity Type
- Organization
- Organization Name
- Jade Clinic Family and Wellness Center Corp
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 13, 2021
- Last Updated
- Aug 30, 2021
Practice Location
- Address
- 2665 CLEVELAND AVE STE 208
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33901-5850
- Phone
- (239) 839-1950
Authorized Official
- Name
- MRS. TERESA D DAMERA, APRN
- Title
- APRN
- Phone
- (786) 475-0034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Nurse Practitioner - Family — Family |
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