Organization · Type 2 NPI
The Med Spa LLC
Family Nurse Practitioner · Fort Myers, FL
NPI number
1508741802
Active
Practice location
9924 Gulf Coast Main St # A120
Fort Myers, FL 33913-9026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1508741802
The Med Spa LLC's National Provider Identifier is 1508741802, issued on Aug 7, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Myers, FL. The record was last updated on Aug 7, 2025.