Organization
MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY MENNA (EXECUTIVE ASSISTANT)
(239) 333-3826
Entity
Organization
Contact information
Practice address
9981 HEALTHPARK CIRCLE, SUITE 159, FT MYERS, FL 33908
(239) 481-5477
(239) 481-5892
Mailing address
8270 COLLEGE PKWY, SUITE 205, FT MYERS, FL 33919
(239) 333-3826
(239) 333-0592
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
01/26/2006
Last updated
02/24/2012
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