Organization
SKILLED NURSING CARE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID KOENINGER (CFO)
(855) 674-7400
Entity
Organization
Contact information
Practice address
2335 AARON ST, PORT CHARLOTTE, FL 33952-5305
(855) 670-7400
(855) 674-7401
Mailing address
3434 HANCOCK BRIDGE PKWY, STE 301, NORTH FORT MYERS, FL 33903-7094
(877) 856-3774
(239) 599-2625
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2014
Last updated
08/01/2014
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