Organization
LUXVIL MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YANNY MURSULI (CEO)
(239) 297-9066
Entity
Organization
Contact information
Practice address
3800 COLONIAL BLVD STE 101, FORT MYERS, FL 33966-1075
(239) 297-9066
Mailing address
3800 COLONIAL BLVD STE 101, FORT MYERS, FL 33966-1075
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/26/2019
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