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Organization
SIA MEDICAL CENTER CORP
Active
Organization
SIA MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK E SCULL-JUSTIZ (PRESIDENT)
(305) 833-9690
Entity
Organization
Contact information
Practice address
12811 KENWOOD LN STE 105, FORT MYERS, FL 33907-5643
(305) 833-9690
Mailing address
12811 KENWOOD LN STE 105, FORT MYERS, FL 33907-5643
(305) 833-9690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/23/2021
Last updated
02/22/2023
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