PROVIDENCE FAMILY LIFE CENTER CORPORATION

FORT MYERS, FL
NPI1326773045
Entity TypeOrganization
Authorized ContactLAURA KOHLER
Billing Specialist
813-720-7694
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2022-07-18
Last Update Date2022-07-18
Business Address
PROVIDENCE FAMILY LIFE CENTER CORPORATION
3592 BROADWAY STE 100
FORT MYERS, FL 33901-8056
Phone number: 239-676-3159
Mailing Address
PROVIDENCE FAMILY LIFE CENTER CORPORATION
3049 CLEVELAND AVE
FORT MYERS, FL 33901-7041
Phone number: 239-676-3159
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