Organization
FORT MYERS NURSING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARIE PAMPINELLA (ADMINISTRATOR)
(239) 277-1168
Entity
Organization
Contact information
Practice address
11220 METRO PKWY, SUITE 19, FORT MYERS, FL 33966-1264
(239) 277-1168
(239) 277-1201
Mailing address
11220 METRO PKWY, SUITE 19, FORT MYERS, FL 33966-1264
(239) 277-1168
(239) 277-1201
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991096
FL
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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