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Individual

ELEONOR RONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5855
(239) 424-1449
(239) 424-1421
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
72817
CT
207Q00000X
Family Medicine Physician
OS12699
FL
208M00000X
Hospitalist Physician
Primary
OS12699
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273338200
FL
Enumeration date
06/29/2012
Last updated
11/14/2022
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