Organization
FORT MYERS GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDIA MILENA RODRIGUEZ MD (MEDICAL DIRECTOR)
(239) 236-2066
Entity
Organization
Contact information
Practice address
12545 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3625
(239) 236-2066
(949) 543-2084
Mailing address
12545 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3625
(239) 236-2066
(949) 543-2084
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036118733
STATE LICENSE
IL
01
—
ME156040
STATE LICENSE
FL
Enumeration date
09/01/2022
Last updated
10/26/2023
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