Organization
SPECIALISTS IN PRIMARY HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEJVIR S CHADHA MD (PRESIDENT)
(239) 278-0330
Entity
Organization
Contact information
Practice address
5030 MASON CORBIN CT, SUITE A, FORT MYERS, FL 33907-4541
(239) 278-0330
(239) 278-1348
Mailing address
5030 MASON CORBIN CT, SUITE B, FORT MYERS, FL 33907-4548
(239) 278-0330
(239) 278-1348
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370862400
—
FL
Enumeration date
10/25/2006
Last updated
09/02/2010
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