Individual
MR. GREGORY CHARLES NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
2789 ORTIZ AVE, BUILDING C, FORT MYERS, FL 33905-7806
(239) 275-3222
(239) 791-0135
Mailing address
2789 ORTIZ AVE, BUILDING C, FORT MYERS, FL 33905-7806
(239) 275-3222
(239) 791-0135
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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