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Organization
S.W. FLORIDA PROSTHETIC CLINIC, INC.
Active
Organization
S.W. FLORIDA PROSTHETIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY T. ANERINO (BOARD CERTIFIED ANAPLASTOLOGIST)
(239) 936-0033
Entity
Organization
Contact information
Practice address
13691 METRO PARKWAY, SUITE 100, FT. MYERS, FL 33912
(239) 936-0033
(239) 936-0047
Mailing address
13691 METRO PARKWAY, SUITE 100, FT. MYERS, FL 33912
(239) 936-0033
(239) 936-0047
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M6012
EYE, EAR, NOSE PROSTHETIC
FL
Enumeration date
10/04/2006
Last updated
06/17/2008
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