C I T Rehab & Welness Center LLC
Clinic/Center in Fort Myers, FL. Organization (NPI-2).
NPI number1972256071
StatusActive
Last updated in NPPESJan 28, 2022
Details
- NPI
- 1972256071
- Entity type
- Organization (NPI-2)
- Legal business name
- C I T Rehab & Welness Center LLC
- Organization subpart
- No
- Enumeration date
- Jan 28, 2022
- Certification date
- Jan 28, 2022
- Last updated
- Jan 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
2665 Cleveland Ave Ste 205Fort Myers, FL 33901-5850
Phone 239-362-3314 · Fax 239-362-3655
Mailing address
2665 Cleveland Ave Ste 205Fort Myers, FL 33901-5850
Phone 239-362-3314 · Fax 239-362-3655
Authorized official
Teresa D Damera
Owner/Aprn
2393623314
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