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Organization

FAST TRACK HEALTH LLC

Active
Parent organization
FAST TRACK HEALTH LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAST TRACK HEALTH LLC
Authorized official
STEPHANIE RENEA SMOKER LPN (MANAGER)
(239) 560-7363
Entity
Organization

Contact information

Practice address
2102 SE 10TH TER, CAPE CORAL, FL 33990-3277
(239) 322-2012
Mailing address
2102 SE 10TH TER, CAPE CORAL, FL 33990-3277
(239) 560-7363

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/31/2021
Last updated
03/31/2021
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