Organization
FT. MYERS WOMEN'S HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISELLA MARENGO (BILLING AND CONTRACT MANAGER)
(727) 442-0445
Entity
Organization
Contact information
Practice address
3900 BROADWAY, BLDG C, FORT MYERS, FL 33901-8193
(239) 936-4497
(941) 936-0161
Mailing address
2106 DREW ST, STE 103, CLEARWATER, FL 33765-3238
(727) 442-0445
(727) 447-3797
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
828
FL
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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