Organization
CHILDREN'S MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN DILL RN (SUPERVISOR)
(239) 433-6723
Entity
Organization
Contact information
Practice address
9800 S HEALTHPARK DR, STE 405, FORT MYERS, FL 33908-7603
(239) 433-6723
(239) 433-6739
Mailing address
9800 S HEALTHPARK DR, STE 405, FORT MYERS, FL 33908-7603
(239) 433-6723
(239) 433-6739
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55038800
—
FL
Enumeration date
02/22/2007
Last updated
08/22/2020
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