Providence Family Life Center Corporation
Providence Family Life Center Corporation is a Multi-Specialty Clinic/Center in Fort Myers, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3592 Broadway Ste 100Fort Myers, FL 33901-8056
Phone: (239) 676-3159
Fax: (239) 519-9202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|
Record details
| NPI number | 1326773045 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Laura Kohler — Billing Specialist · (813) 720-7694 |
| NPI enumerated | July 18, 2022 |
| Last updated in NPPES | July 18, 2022 |
| Certification date | July 18, 2022 |
| Mailing address | 3049 Cleveland Ave, Fort Myers, FL 33901-7041 |
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