Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE MARIE PACETTI ARRT (RADIOGRAPHER)
(239) 939-3939
Entity
Organization
Contact information
Practice address
2727 WINKLER AVE, FORT MYERS, FL 33901-9358
(239) 939-3939
Mailing address
3704 SE 18TH AVE, CAPE CORAL, FL 33904-5075
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
28080
FL
261QR0206X
Mammography Clinic/Center
168043
FL
Other
Enumeration date
10/25/2008
Last updated
10/25/2008
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