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Organization
CAPE CORAL INJURY CLINIC LLC
Active
Organization
CAPE CORAL INJURY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KAMMERER (PART OWNER)
(317) 224-7242
Entity
Organization
Contact information
Practice address
1260 NE 8TH ST STE 110, CAPE CORAL, FL 33909-3169
(239) 573-7988
Mailing address
1260 NE 8TH ST STE 110, CAPE CORAL, FL 33909-3169
(239) 573-7988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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