Organization · Type 2 NPI

Providence Family Life Center Corporation

Multi-Specialty Clinic/Center · Fort Myers, FL

NPI number 1326773045 Active

Practice location

3592 Broadway Ste 100
Fort Myers, FL 33901-8056

Call (239) 676-3159 Map

Fax (239) 519-9202

Mailing address

3049 Cleveland Ave
Fort Myers, FL 33901-7041

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1326773045

Providence Family Life Center Corporation's National Provider Identifier is 1326773045, issued on Jul 18, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 18, 2022.