Organization
TELEHEALTH VISITS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE LUNDGREN (OWNER)
(239) 822-5598
Entity
Organization
Contact information
Practice address
13451 CORAL DR # 5, FORT MYERS, FL 33908-2937
(239) 822-5598
Mailing address
13451 CORAL DR # 5, FORT MYERS, FL 33908-2937
(239) 822-5598
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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