Organization
ELEVATE MEDICAL FORT MYERS, LLC
Active
Other names
Elevate Medical Fort Myers, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY MITCHELL BSN (OWNER)
(870) 919-6686
Entity
Organization
Contact information
Practice address
1850 BOY SCOUT DR STE A102, FORT MYERS, FL 33907-2127
(870) 919-6686
(662) 560-0161
Mailing address
1850 BOY SCOUT DR STE A102, FORT MYERS, FL 33907-2127
(662) 501-0043
(662) 560-0161
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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