Organization
GIANA MEDICAL CENTER CLINICA HISPANA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA IVIS CABRERA GONZALEZ APRN (PRESIDENT)
(239) 599-4986
Entity
Organization
Contact information
Practice address
13240 N CLEVELAND AVE STE 2-3, NORTH FORT MYERS, FL 33903-4855
(239) 599-4986
(239) 205-6101
Mailing address
13240 N CLEVELAND AVE STE 2&3, NORTH FORT MYERS, FL 33903-4855
(239) 599-4986
(239) 205-6101
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108349200
—
FL
Enumeration date
06/16/2020
Last updated
09/19/2024
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