Organization
ALLIED MEDICAL OF SW FLORIDA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY L GONZALEZ APRN (PRESIDENT)
(407) 288-0598
Entity
Organization
Contact information
Practice address
2503 DEL PRADO BLVD S STE 510, CAPE CORAL, FL 33904-5709
(239) 319-3933
Mailing address
2503 DEL PRADO BLVD S STE 510, CAPE CORAL, FL 33904-5709
(239) 319-3933
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063470540
—
FL
05
—
1275013120
—
FL
Enumeration date
02/18/2019
Last updated
06/25/2020
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