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Organization
JADE CLINIC FAMILY AND WELLNESS CENTER CORP
Active
Organization
JADE CLINIC FAMILY AND WELLNESS CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA D DAMERA APRN (APRN)
(786) 475-0034
Entity
Organization
Contact information
Practice address
2665 CLEVELAND AVE STE 208, FORT MYERS, FL 33901-5850
(239) 839-1950
(239) 236-1665
Mailing address
2665 CLEVELAND AVE STE 208, FORT MYERS, FL 33901-5850
(239) 839-1950
(239) 236-1665
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
08/30/2021
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