Organization
SUNSHINE NEW WELLNESS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERTIN MARTINEZ (OWNER/RESIDENT)
(786) 312-5828
Entity
Organization
Contact information
Practice address
9400 GLADIOLUS DR STE 270, FORT MYERS, FL 33908-7600
(786) 312-5828
Mailing address
9400 GLADIOLUS DR STE 270, FORT MYERS, FL 33908-7600
(786) 312-5828
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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