Individual
MR. EDWIN MELENDEZ-CORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
2789 ORTIZ AVE, FORT MYERS, FL 33905
(239) 275-3222
(239) 278-9058
Mailing address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 275-3222
(239) 278-9058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M453200722560
FLORIDA DRIVER LICENSE
FL
Enumeration date
07/18/2012
Last updated
07/18/2012
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