Individual
KEVIN MOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 275-3222
Mailing address
2789 ORTIZ AV, FT MYERS, FL 33905
(239) 275-3222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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