institution
Immokalee Family Doctor's Clinic, Llc
General Practice Physician in Immokalee, Florida
NPI 1801157839

Immokalee Family Doctor's Clinic, Llc is a General Practice Physician based in Immokalee, FL. Immokalee Family Doctor's Clinic, Llc practices in Immokalee, FL. The NPI Number for Immokalee Family Doctor's Clinic, Llc is 1801157839 and holds a License No. ME42490 (Florida).

The current practice location address for Immokalee Family Doctor's Clinic, Llc is 555 N 15Th St Unit A, Immokalee, FL and can be reached out via phone at 239-657-2779 and via fax at 239-657-3335.

Location: 555 N 15Th St Unit A, Immokalee, FL, 34142-2824
institution
Provider Profile Details
NPI Number
1801157839
Provider Name
Immokalee Family Doctor's Clinic, Llc
Credential
Provider Entity Type
Organization
Address
555 N 15Th St Unit A, Immokalee, FL, 34142-2824
Phone Number
239-657-2779
Fax Number
239-657-3335
Provider Enumeration Date
06/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
113836500 05 FL
institution
Provider Business Practice Location Address Details
Address
555 N 15Th St Unit A
City
State
Zip
34142-2824
Phone Number
239-657-2779
Fax Number
239-657-3335
person
Provider Business Mailing Address Details
Address
555 N 15Th St Unit A
City
State
Zip
34142-2824
Phone Number
239-657-2779
Fax Number
239-657-3335
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME42490 (Florida)
Definition
Definition to come...
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