ADV AN CED FLORIDA MEDICAL GROUP, CORP.

FORT MYERS, FL
NPI1376993980
Entity TypeOrganization
Authorized ContactODALIS MAZA MOREJON
President
239-590-8570
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: FL  HCC10633)
Enumeration Date2016-06-14
Last Update Date2016-09-22
Business Address
ADV AN CED FLORIDA MEDICAL GROUP, CORP.
3900 BROADWAY STE D-9
FORT MYERS, FL 33901-8193
Phone number: 239-590-8570
Mailing Address
ADV AN CED FLORIDA MEDICAL GROUP, CORP.
3900 BROADWAY, SUITE D-9
FORT MYERS, FL 33901
Phone number:
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