Organization
BOSTON MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELISE G LEWIS REGISTERED (OPERATIONS MANAGER)
(239) 206-1200
Entity
Organization
Contact information
Practice address
3903 DR MARTIN LUTHER KING BLVD, FORT MYERS, FL 33916-4805
(239) 851-7500
Mailing address
3903 DR MARTIN LUTHER KING BLVD, FORT MYERS, FL 33916-4805
(239) 851-7500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251300000X
Local Education Agency (LEA)
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
305S00000X
Point of Service
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679209142
—
FL
Enumeration date
02/01/2023
Last updated
08/09/2024
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