Individual
MARY ALICE MC FAD MARTINIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N. F.A.
Contact information
Practice address
12670 CREEKSIDE LANE, STE 202, FT MYERS, FL 33919-8759
(239) 482-2663
(239) 482-3106
Mailing address
12670 CREEKSIDE LANE, STE 202, FT MYERS, FL 33919-8759
(239) 482-2663
(239) 482-3106
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
RN1536802
FL
Other
Enumeration date
01/28/2006
Last updated
12/26/2007
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