Organization
NORTH FORT MYERS FACILITY OPERATIONS, LLC
Active
Other names
Raydiant Health Care of North Fort Myers
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BRINKERHOFF (MANAGER)
(407) 429-6100
Entity
Organization
Contact information
Practice address
991 PONDELLA RD, NORTH FORT MYERS, FL 33903-3500
(239) 995-8809
(239) 995-1253
Mailing address
991 PONDELLA RD, NORTH FORT MYERS, FL 33903-3500
(239) 995-8809
(239) 995-1253
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1444096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008040000
—
FL
Enumeration date
07/25/2006
Last updated
07/14/2023
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