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Organization
SUNCOAST INTEGRATED MEDICAL CENTER LLC
Active
Organization
SUNCOAST INTEGRATED MEDICAL CENTER LLC
Active
Other names
Suncoast Regenerative Medical Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WINFIELD WADMAN (COO)
(855) 778-6262
Entity
Organization
Contact information
Practice address
3840 COLONIAL BLVD STE 1, FORT MYERS, FL 33966-1126
(855) 778-6262
(855) 778-3262
Mailing address
3840 COLONIAL BLVD STE 1, FORT MYERS, FL 33966-1126
(855) 778-6262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/05/2023
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