Duxana Medical Center Corp

NPI #1922646306 in Fort Myers, Florida

Provider Information

NPI Number: 1922646306
Entity Type: Organization
Organization Name: Duxana Medical Center Corp
Primary Specialty: General Practice
Enumeration Date: Dec 16, 2019
Last Updated: Dec 16, 2019

Practice Location

Address: 5248 RED CEDAR DR STE 102
City: Fort Myers
State: Florida
ZIP Code: 33907-4522
Phone: (239) 208-2790

Authorized Official

Name: FARID MUSTAFA
Title: PARTNER OWNER
Phone: (239) 208-2790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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