Individual
HEIDI M EISELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2506 2ND ST, SUITE 105, FORT MYERS, FL 33901-2500
(239) 334-9555
(239) 334-2439
Mailing address
2506 2ND ST, SUITE 105, FORT MYERS, FL 33901-2500
(239) 334-9555
(239) 334-2439
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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