# SWFL INTEGRATIVE MEDICINE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386265254
- **Authorized official:** DR. HEATHER V AULD MD (OWNER)
- **Authorized official phone:** (239) 208-6676

## Contact information

- **Practice address:** 1570 COLONIAL BLVD STE A, FORT MYERS, FL 33907-1031
- **Practice address phone:** (239) 208-6676
- **Mailing address:** 1570 COLONIAL BLVD STE A, FORT MYERS, FL 33907-1031
- **Mailing address phone:** (239) 208-6676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2020
- **Last updated:** 05/02/2020
