Island Coast Primary Care Project, Inc.

NPI 1003198565 - Case Management - 251B00000X

NPI Details
NPI 1003198565
Enumeration Date 09/12/2011
Last Updated 09/12/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name CATHY CATHY
Position PROGRAM ADMINISTRATOR
Phone (239) 467-8375
Fax (239) 461-7639
Practice Location
4150 FORD STREET EXT STE 1B
FORT MYERS FL, 33916-9498, US
Phone (239) 467-8375
Fax (239) 461-7639
Business Location
4150 FORD STREET EXT STE 1B
FORT MYERS FL, 33916-9498, US
Phone (239) 461-8375
Fax (239) 461-7639
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
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According to our database, Island Coast Primary Care Project, Inc. NPI is 1003198565, taxonomy code is 251B00000X Island Coast Primary Care Project, Inc. physically located at 4150 Ford Street Ext Ste 1b, Fort Myers FL, 33916-9498. NPI Number 1033115704 has the healthcare provider type.

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1003198565 NPI number is provided on an as is basis without warranty of any kind. 1003198565 is maintained by the National Plan & Provider Enumeration System. The contents of Island Coast Primary Care Project, Inc. are for informational purposes only.