Organization
SOUTHERN MAGNOLIA LLC
Active
Other names
Southern Magnolia LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE GEERKEN COTA (OWNER)
(239) 265-5367
Entity
Organization
Contact information
Practice address
12856 BANYAN CREEK DR # 2, FORT MYERS, FL 33908-3082
(239) 265-5367
Mailing address
17165 JOHN MORRIS RD 291, FT MYERS, FL 33908
(239) 265-5367
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/17/2021
Last updated
02/23/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us