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Organization
WOMEN'S HEALTHCARE OF SW FLORIDA, LLC
Active
Organization
WOMEN'S HEALTHCARE OF SW FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARYLE LYNE CLYATT ARNP (OFFICER)
(239) 939-1999
Entity
Organization
Contact information
Practice address
7890 SUMMERLIN LAKES DR, SUITE 3, FORT MYERS, FL 33907-1851
(239) 939-1999
(239) 939-4935
Mailing address
7890 SUMMERLIN LAKES DR, SUITE 3, FORT MYERS, FL 33907-1851
(239) 939-1999
(239) 939-4935
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME59299
FL
207V00000X
Obstetrics & Gynecology Physician
ME92164
FL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008470600
—
FL
Enumeration date
10/29/2012
Last updated
08/30/2013
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