Organization
NEW BEGINNINGS AT FT MYERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA A FUNDORA (PRESIDENT)
(813) 766-2376
Entity
Organization
Contact information
Practice address
6202 PRESIDENTIAL CT, SUITE E, FORT MYERS, FL 33919-3563
(813) 766-2376
Mailing address
6202 PRESIDENTIAL CT, SUITE E, FORT MYERS, FL 33919-3563
(813) 766-2376
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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