Organization
PHYSICIANS REGENERATIVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GHANEM (PRESIDENT)
(239) 768-6396
Entity
Organization
Contact information
Practice address
6150 DIAMOND CENTRE CT BLDG 100, FORT MYERS, FL 33912-4367
(239) 768-6896
(239) 204-3000
Mailing address
6150 DIAMOND CENTRE CT BLDG 100, FORT MYERS, FL 33912-4367
(239) 768-6896
(239) 204-3000
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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