| NPI | 1467189894 | 
|---|---|
| Doing Business As | LCH- ADULT CARDIOLOGY CAPE CORAL | 
| Entity Type | Organization | 
| Authorized Contact | JOSEPH NIEBERGALL Credentialing Specialist 239-424-1446  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | 
| Enumeration Date | 2022-08-05 | 
| Last Update Date | 2022-08-05 |