Altmedical Group, INC.
Clinic/Center in Cape Coral, FL. Organization (NPI-2).
NPI number1669602769
StatusActive
Last updated in NPPESJul 23, 2009
Details
- NPI
- 1669602769
- Entity type
- Organization (NPI-2)
- Legal business name
- Altmedical Group, INC.
- Organization subpart
- No
- Enumeration date
- Jul 23, 2009
- Last updated
- Jul 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
4121 Del Prado Blvd SCape Coral, FL 33904-7164
Phone 239-549-6171 · Fax 239-549-7379
Mailing address
4121 Del Prado Blvd SCape Coral, FL 33904-7164
Phone 239-549-6171 · Fax 239-549-7379
Authorized official
Abbie Lynn Tate
President
2395496171
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