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Organization

IMPACT FOR DEVELOPMENTAL EDUCATION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAXINE GIBBS (EXECUTIVE DIRECTOR)
(239) 628-1061
Entity
Organization

Contact information

Practice address
1650 MEDICAL LN STE 4, FORT MYERS, FL 33907-1116
(239) 628-1061
Mailing address
1650 MEDICAL LN STE 4, FORT MYERS, FL 33907-1116
(239) 628-1061

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
06/27/2025
Last updated
05/28/2026
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