# RENAISSANCE MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1528645009
- **Authorized official:** ALFONSO GARCIA BELLO MD (PRESIDENT)
- **Authorized official phone:** (239) 800-3028

## Contact information

- **Practice address:** 629 SW 4TH ST, CAPE CORAL, FL 33991-1971
- **Practice address phone:** (239) 800-3028
- **Practice address fax:** (239) 599-4893
- **Mailing address:** 629 SW 4TH ST, CAPE CORAL, FL 33991-1971
- **Mailing address phone:** (239) 800-3028
- **Mailing address fax:** (239) 599-4893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2021
- **Last updated:** 03/29/2021