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Organization
SOUTHWEST FLORIDA PELVIC HEALTH CLINIC
Active
Organization
SOUTHWEST FLORIDA PELVIC HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB BENJAMIN NASSBERG (OWNER)
(239) 248-6056
Entity
Organization
Contact information
Practice address
3200 BAILEY LN STE 111, NAPLES, FL 34105-8506
(239) 248-6056
Mailing address
3200 BAILEY LN STE 111, NAPLES, FL 34105-8506
(239) 248-6056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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