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Organization

OCEANSIDE PRIMARY CARE AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CASEY RAY LANGFORD APRN (OWNER/OPERATOR)
(941) 254-1094
Entity
Organization

Contact information

Practice address
17595 S TAMIAMI TRL STE 211, FORT MYERS, FL 33908-4889
(941) 254-1094
(239) 790-0936
Mailing address
17595 S TAMIAMI TRL STE 211, FORT MYERS, FL 33908-4889
(941) 254-1094
(239) 790-0936

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
07/28/2026
Last updated
07/28/2026
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