Organization
SOUTHWEST FLORIDA PROSTHETIC CLINIC
Active
Other names
SOUTHWEST FLORIDA PROSTHETIC CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY THOMAS ANERINO (CERTIFIED ANAPLASTOLOGIST)
(239) 936-0033
Entity
Organization
Contact information
Practice address
13691 METRO PKWY, SUITE 100, FORT MYERS, FL 33912-4327
(239) 936-0033
(239) 936-0047
Mailing address
13691 METRO PKWY, SUITE 100, FORT MYERS, FL 33912-4327
(239) 936-0033
(239) 936-0047
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
07/14/2011
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