Organization
CENTRO MEDICO LLC
Active
Organization
CENTRO MEDICO LLC
Active
Other names
CENTRO MEDICO LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELIN JOSEPH APRN (PRESIDENT)
(239) 849-9770
Entity
Organization
Contact information
Practice address
1425 VISCAYA PKWY STE 101, CAPE CORAL, FL 33990-3294
(239) 257-1167
Mailing address
1425 VISCAYA PKWY STE 101, CAPE CORAL, FL 33990-3294
(239) 257-1167
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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