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Organization
MOURACADE RECOVERY MEDICINE, PLLC
Active
Organization
MOURACADE RECOVERY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY MARGARET MAGNO MOURACADE MD (PRINCIPAL)
(239) 222-0700
Entity
Organization
Contact information
Practice address
6290 CORPORATE CT STE C201, FORT MYERS, FL 33919-3503
(239) 406-6039
(239) 320-6796
Mailing address
6290 CORPORATE CT STE C201, FORT MYERS, FL 33919-3503
(239) 406-6039
(239) 320-6796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME64887
FL
Other
Enumeration date
02/13/2016
Last updated
03/12/2024
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