MI DYNAMIC MEDICAL GROUP LLC

CAPE CORAL, FL
NPI1700777224
Entity TypeOrganization
Authorized ContactIVETTE DIEGUEZ
Ap RN
239-342-6516
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2025-07-12
Last Update Date2025-09-12
Business Address
MI DYNAMIC MEDICAL GROUP LLC
1222 SE 47TH ST STE 201
CAPE CORAL, FL 33904-9602
Phone number: 239-342-6516
Mailing Address
MI DYNAMIC MEDICAL GROUP LLC
1222 SE 47TH ST STE 201
CAPE CORAL, FL 33904-9602
Phone number: 239-342-6516