Organization
GULF COAST WELLNESS INSTITUTE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABEL HORTA (CEO)
(239) 315-9734
Entity
Organization
Contact information
Practice address
6300 CORPORATE CT, FORT MYERS, FL 33919
(239) 315-9734
Mailing address
6300 CORPORATE CT, FORT MYERS, FL 33919-3513
(239) 315-9734
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/10/2017
Last updated
06/13/2018
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