Organization
CORAL MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA DEL PINO (OWNER)
(786) 326-2667
Entity
Organization
Contact information
Practice address
1500 COLONIAL BLVD STE 219, FORT MYERS, FL 33907-1026
(786) 326-2667
Mailing address
1722 SW 38TH TER, CAPE CORAL, FL 33914-5576
(786) 326-2667
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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