Organization
MEDICAL CENTRAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIA RODRIGUEZ (OWNER)
(239) 471-2874
Entity
Organization
Contact information
Practice address
114 DEL PRADO BLVD S # 100, CAPE CORAL, FL 33990-1724
(239) 471-2874
(239) 330-2919
Mailing address
114 DEL PRADO BLVD S # 100, CAPE CORAL, FL 33990-1724
(239) 471-2874
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
08/21/2024
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