Organization
SWFL INTEGRATIVE MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER V AULD MD (OWNER)
(239) 208-6676
Entity
Organization
Contact information
Practice address
1570 COLONIAL BLVD STE A, FORT MYERS, FL 33907-1031
(239) 208-6676
Mailing address
1570 COLONIAL BLVD STE A, FORT MYERS, FL 33907-1031
(239) 208-6676
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/02/2020
Last updated
05/02/2020
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