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Organization
FAST TRACK HEALTH LLC
Active
Organization
FAST TRACK HEALTH LLC
Active
Parent organization
FAST TRACK HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAST TRACK HEALTH LLC
Authorized official
STEPHANIE RENEA SMOKER LPN (MANAGER)
(239) 560-7363
Entity
Organization
Contact information
Practice address
2102 SE 10TH TER, CAPE CORAL, FL 33990-3277
(239) 322-2012
Mailing address
2102 SE 10TH TER, CAPE CORAL, FL 33990-3277
(239) 560-7363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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