Replete Tx Treatment Center LLC
Internal Medicine in Fort Myers, FL. Organization (NPI-2).
NPI number1629487558
StatusActive
Last updated in NPPESAug 5, 2014
Details
- NPI
- 1629487558
- Entity type
- Organization (NPI-2)
- Legal business name
- Replete Tx Treatment Center LLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2014
- Last updated
- Aug 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 111N00000X | Chiropractor | – | – |
Practice location
6700 Winkler RdSuite 1
Fort Myers, FL 33919-7233
Phone 239-738-2922
Mailing address
6700 Winkler RdSuite 1
Fort Myers, FL 33919-7233
Phone 239-738-2922
Authorized official
Robert E Davis
Owner
2397382922
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