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Impact For Developmental Education, Inc
Clinic/Center in Fort Myers, Florida
NPI 1386368801

Impact For Developmental Education, Inc is a Clinic/Center based in Fort Myers, FL. Impact For Developmental Education, Inc practices in Fort Myers, FL. The NPI Number for Impact For Developmental Education, Inc is 1386368801 and holds a License No. (Florida).

The current practice location address for Impact For Developmental Education, Inc is 1650 Medical Lane Suite 4, Fort Myers, FL and can be reached out via phone at 239-334-6160 and via fax at 239-334-1339.

Location: 1650 Medical Lane Suite 4, Fort Myers, FL, 33994-1119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386368801
Provider Name
Impact For Developmental Education, Inc
Credential
Provider Entity Type
Organization
Address
1650 Medical Lane Suite 4, Fort Myers, FL, 33994-1119
Phone Number
239-334-6160
Fax Number
239-334-1339
Provider Enumeration Date
09/28/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105037500 05 FL
institution
Provider Business Practice Location Address Details
Address
1650 Medical Lane Suite 4
City
Fort Myers
State
Florida
Zip
33907-1116
Phone Number
239-334-6160
Fax Number
239-334-1339
person
Provider Business Mailing Address Details
Address
1650 Medical Lane Suite 4
City
Fort Myers
State
Florida
Zip
33907-1116
Phone Number
239-334-6160
Fax Number
239-334-1339
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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