Consolidated Sports Medical Enterprises, INC
Clinic/Center in Cape Coral, FL. Organization (NPI-2).
NPI number1336476290
StatusActive
Last updated in NPPESNov 12, 2009
Details
- NPI
- 1336476290
- Entity type
- Organization (NPI-2)
- Legal business name
- Consolidated Sports Medical Enterprises, INC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2009
- Last updated
- Nov 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Spine & Disc Care Center (Doing Business As)
Practice location
3108 Del Prado Blvd SCape Coral, FL 33904-7226
Phone 239-541-3472 · Fax 239-540-3473
Mailing address
3108 Del Prado Blvd SCape Coral, FL 33904-7226
Phone 239-541-3472 · Fax 239-540-3473
Authorized official
Patricia A Mayers
Vp/Administrator
2395413472
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