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Organization

NORTH CLEVELAND HEALTHCARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAZARO ALFONSO (OFFICE MANAGER)
(239) 849-6839
Entity
Organization

Contact information

Practice address
13240 N CLEVELAND AVE, UNIT # 9, NORTH FORT MYERS, FL 33903-4855
(239) 652-3783
Mailing address
13240 N CLEVELAND AVE, UNIT # 9, NORTH FORT MYERS, FL 33903-4855
(239) 652-3783

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
04/21/2016
Last updated
04/21/2016
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