Individual
DR. MARISA BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12499 BRANTLEY COMMONS CT STE 101, FORT MYERS, FL 33907-5694
(239) 278-3443
(239) 278-3550
Mailing address
12499 BRANTLEY COMMONS CT STE 101, FORT MYERS, FL 33907-5694
(239) 278-3443
(239) 278-3550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10455
FL
Other
Enumeration date
07/27/2016
Last updated
07/12/2019
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