| NPI | 1255436143 |
|---|---|
| Former Legal Business Name | FORT MYERS FAMILY MEDICINE PA |
| Entity Type | Organization |
| Authorized Contact | HURSEL LEE ADKINS Executive Managing Director 239-433-4014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS0005720) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-06-20 |