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Organization

ALTMEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ABBIE LYNN TATE (PRESIDENT)
(239) 549-6171
Entity
Organization

Contact information

Practice address
4121 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7164
(239) 549-6171
(239) 549-7379
Mailing address
4121 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7164
(239) 549-6171
(239) 549-7379

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
07/23/2009
Last updated
07/23/2009
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