Organization
CALOOSA MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENNCE A SCOTT D.O. (MANAGING PARTNER)
(239) 849-6620
Entity
Organization
Contact information
Practice address
14651 PALM BEACH BLVD STE 100, FORT MYERS, FL 33905-2331
(239) 849-6620
Mailing address
5180 JACKSON RD, FORT MYERS, FL 33905-7518
(239) 849-6620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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