Organization
NEW DAWN EASTERN MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN RICE (PRESIDENT)
(239) 362-0668
Entity
Organization
Contact information
Practice address
16317 S TAMIAMI TRL, FORT MYERS, FL 33908-5326
(239) 362-0668
Mailing address
8200 MATANZAS RD, FORT MYERS, FL 33967-3477
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AP1324
FL
Other
Enumeration date
06/28/2010
Last updated
07/08/2010
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