Organization
CHARLOTTE COUNTY FAMILY YMCA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS GOFF (EXECUTIVE DIRECTOR)
(941) 629-9622
Entity
Organization
Contact information
Practice address
19333 QUESADA AVE, PORT CHARLOTTE, FL 33948
(941) 629-9622
(941) 206-3480
Mailing address
19333 QUESADA AVE., PORT CHARLOTTE, FL 33948
(941) 629-9622
(941) 206-3480
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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