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5072020, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Myers, Florida
NPI 1538773411

5072020, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Plano, FL and is specialized in End-Stage Renal Disease (ESRD) Treatment. 5072020, Llc practices in Fort Myers, FL. The NPI Number for 5072020, Llc is 1538773411 and holds a License No. (Florida).

The current practice location address for 5072020, Llc is 2675 Winkler Ave Ste 130, Fort Myers, FL and can be reached out via phone at 239-791-1747.

Location: 2675 Winkler Ave Ste 130, Fort Myers, FL, 75025-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538773411
Provider Name
5072020, Llc
Credential
Provider Entity Type
Organization
Address
2675 Winkler Ave Ste 130, Fort Myers, FL, 75025-1500
Phone Number
239-791-1747
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2675 Winkler Ave Ste 130
City
Fort Myers
State
Florida
Zip
33901-9362
Phone Number
239-791-1747
Fax Number
person
Provider Business Mailing Address Details
Address
2675 Winkler Ave Ste 130
City
Fort Myers
State
Florida
Zip
33901-9362
Phone Number
239-791-1747
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
()
Definition
Definition to come...
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