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Organization
MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA PA
Active
Organization
MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY MENNA (EXECUTIVE ASSISTANT)
(239) 333-3826
Entity
Organization
Contact information
Practice address
9981 HEALTHPARK CIRCLE, SUITE 159, FT MYERS, FL 33908
(239) 481-5477
(239) 481-5892
Mailing address
8270 COLLEGE PKWY, SUITE 205, FT MYERS, FL 33919
(239) 333-3826
(239) 333-0592
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
01/26/2006
Last updated
02/24/2012
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