Organization · NPI-2

Coastal Women'S Wellness, LLC

Obstetrics & Gynecology, Gynecology · Fort Myers, FL

NPI number1316631823
StatusActive
Last updated in NPPESJun 13, 2023

Details

NPI
1316631823
Entity type
Organization (NPI-2)
Legal business name
Coastal Women'S Wellness, LLC
Organization subpart
No
Enumeration date
Jun 7, 2023
Certification date
Jun 13, 2023
Last updated
Jun 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, Gynecology––Yes

Practice location

13782 Plantation Rd Ste 102
Fort Myers, FL 33912-4462

Phone 239-237-5529 · Fax 239-396-2118

Mailing address

13782 Plantation Rd Ste 102
Fort Myers, FL 33912-4462

Other practice locations

13742 Pine Villa Ln
Fort Myers, FL 33912-1618

Phone 410-967-6419

Authorized official

Erin Ward
Owner
4109676419

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Obstetrics & Gynecology, Gynecology providers in Fort Myers, FL