Organization
FLORIDA GULF COAST UNIVERISTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA NECOLE NEAL LAT (ASST. AD FOR HEALTH PERFORMANCE)
(239) 745-4299
Entity
Organization
Contact information
Practice address
10501 FGCU BLVD S, FORT MYERS, FL 33965-6502
(239) 742-4299
(239) 590-7398
Mailing address
10501 FGCU BLVD S, FORT MYERS, FL 33965-6502
(239) 742-4299
(239) 590-7398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME80216
STATE LICENSE
FL
Enumeration date
07/22/2020
Last updated
09/29/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us