Organization · Type 2 NPI

Skilled Nursing Care Medical Group LLC

Adult Medicine Physician · Port Charlotte, FL

NPI number 1265849830 Active

Practice location

2335 Aaron St
Port Charlotte, FL 33952-5305

Fax (855) 674-7401

Mailing address

3434 Hancock Bridge Pkwy, Ste 301
North Fort Myers, FL 33903-7094

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

2 other providers at this address

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About NPI 1265849830

Skilled Nursing Care Medical Group LLC's National Provider Identifier is 1265849830, issued on Jul 16, 2014. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Port Charlotte, FL. The record was last updated on Aug 1, 2014.