Organization
G & C MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YENMA CONCEPCION MASSAGE THERAPIST (PRESIDENT)
(239) 244-4851
Entity
Organization
Contact information
Practice address
4048 EVANS AVE, SUITE 208, FORT MYERS, FL 33901-9322
(786) 991-4400
Mailing address
4048 EVANS AVE, SUITE 208, FORT MYERS, FL 33901-9322
(786) 991-4400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA61848
FL
Other
Enumeration date
10/22/2011
Last updated
10/22/2011
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