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Organization
MATERNAL FETAL MEDICINE OF S.W. FL
Active
Organization
MATERNAL FETAL MEDICINE OF S.W. FL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY MENNA (EXECUTIVE ASSISTANT)
(239) 333-3826
Entity
Organization
Contact information
Practice address
2400 HARBOR BLVD, UNIT 7, PORT CHARLOTTE, FL 33952-5038
(941) 391-8010
(941) 391-8013
Mailing address
8270 COLLEGE PKWY, SUITE 205, FORT MYERS, FL 33919
(239) 333-3826
(239) 333-0592
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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