Coastal Primecare Fl Group
Family Medicine in Fort Myers, FL. Organization (NPI-2).
NPI number1093308355
StatusActive
Last updated in NPPESFeb 18, 2021
Details
- NPI
- 1093308355
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Primecare Fl Group
- Organization subpart
- No
- Enumeration date
- Feb 18, 2021
- Certification date
- Feb 18, 2021
- Last updated
- Feb 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Coaastal Primecare (Doing Business As)
Practice location
8291 Dani Dr Ste 100Fort Myers, FL 33966-8021
Phone 239-931-6049
Mailing address
8291 Dani Dr Ste 100Fort Myers, FL 33966-8021
Phone 239-931-6049
Authorized official
Angelia Sakyi-Agyekum
Owner
9044371529
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