Organization
SANTE PLUS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICOT JEANSIMON (OWNER)
(239) 603-2377
Entity
Organization
Contact information
Practice address
1502 LAKE TRAFFORD RD, IMMOKALEE, FL 34142-2618
(239) 900-9170
(239) 603-2377
Mailing address
3822 BROADWAY STE A, FORT MYERS, FL 33901-8148
(239) 603-2377
(561) 293-7717
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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