is a Psychiatric/mental Health in Fort Myers, Florida. practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for is 1063679173. The last update date is .
's current location address is 6360 Techster Blvd Ste 1, Fort Myers, Florida. You can contact this provider via phone number 2392232751. The mailing address for is 6360 Techster Blvd Ste 1, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 6360 Techster Blvd Ste 1, Fort Myers, Florida |
Phone Number | 2392232751 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1063679173 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 6360 Techster Blvd Ste 1 |
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City | Fort Myers |
State | Florida (FL) |
Post Code | 339664805 |
Phone Number | 2392232751 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychiatric/mental Health |
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Taxonomy | 363Lp0808X |
Licence No | ARNP1971252 |
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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23711500 | FL | -- |
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