Boston Medical Care LLC
Point of Service in Fort Myers, FL. Organization (NPI-2).
NPI number1245936293
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1245936293
- Entity type
- Organization (NPI-2)
- Legal business name
- Boston Medical Care LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2023
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 251300000X | Local Education Agency (LEA) | – | – | |
| 251E00000X | Home Health | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – |
Practice location
3903 Dr Martin Luther King BlvdFort Myers, FL 33916-4805
Phone 239-851-7500
Mailing address
3903 Dr Martin Luther King BlvdFort Myers, FL 33916-4805
Phone 239-851-7500
Authorized official
Elise G Lewis
Operations Manager
2392061200
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