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Organization
ELEVATE MEDICAL FORT MYERS, LLC
Active
Organization
ELEVATE MEDICAL FORT MYERS, LLC
Active
Other names
Elevate Medical Fort Myers, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY MITCHELL BSN (OWNER)
(870) 919-6686
Entity
Organization
Contact information
Practice address
1850 BOY SCOUT DR STE A102, FORT MYERS, FL 33907-2127
(870) 919-6686
(662) 560-0161
Mailing address
1850 BOY SCOUT DR STE A102, FORT MYERS, FL 33907-2127
(662) 501-0043
(662) 560-0161
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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