NPI | 1669792461 |
---|---|
Doing Business As | PHYSICIANS WELLNESS CENTER FORT MYERS |
Entity Type | Organization |
Authorized Contact | JOHN THADDEUS LEGOWIK Owner 239-938-0007 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME25156) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2010-06-03 |