# MARIAN ENRICH PROFESSIONAL SERVICE CORP

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

## Provider details

- **NPI number:** 1497626238
- **Authorized official:** MARIAN ENRICH APRN (PRESIDENT)
- **Authorized official phone:** (305) 345-4958

## Contact information

- **Practice address:** 5285 SUMMERLIN RD STE 101, FORT MYERS, FL 33919-7601
- **Practice address phone:** (305) 345-4958
- **Mailing address:** 2703 9TH ST W, LEHIGH ACRES, FL 33971-5482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2025
- **Last updated:** 09/15/2025