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Organization
INTEGRITY PRIMARY MED LLC
Active
Organization
INTEGRITY PRIMARY MED LLC
Active
Other names
Integrity Primary Med
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EILEEN C CALLAWAY MD (CEO / OWNER / MEDICAL DIRECTOR)
(239) 215-3500
Entity
Organization
Contact information
Practice address
10491 6 MILE CYPRESS PKWY STE 271, FORT MYERS, FL 33966-6518
(239) 215-3500
(239) 215-3525
Mailing address
10491 6 MILE CYPRESS PKWY STE 271, FORT MYERS, FL 33966-6518
(239) 215-3500
(239) 215-3525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114316000
—
FL
01
—
XGZN9
BLUE CROSS - BLUE SHIELD
FL
Enumeration date
03/08/2022
Last updated
07/11/2023
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