# ESTERO ISLAND MEDICAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Estero Island Medical Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851662183
- **Authorized official:** HENRY ROTHENBERG (VICE PRESIDENT)
- **Authorized official phone:** (239) 463-5741

## Contact information

- **Practice address:** 6875 ESTERO BLVD, FORT MYERS BEACH, FL 33931-4608
- **Practice address phone:** (239) 463-5741
- **Practice address fax:** (239) 463-5578
- **Mailing address:** 6875 ESTERO BLVD, FORT MYERS BEACH, FL 33931-4608
- **Mailing address phone:** (239) 463-5741
- **Mailing address fax:** (239) 463-5578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | ME49188 | FL | Yes |

## Other

- **Enumeration date:** 01/18/2012
- **Last updated:** 01/18/2012