Organization
EXECUTIVE MANAGEMENT FOR ADULT CARE LLC
Active
Other names
EMAC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA ELIZABETH FOWLER D.O. (DIRECT OWNER)
(239) 338-8069
Entity
Organization
Contact information
Practice address
15660 SAN CARLOS BLVD, UNIT # 294, FORT MYERS, FL 33908-2526
(239) 338-8069
Mailing address
15660 SAN CARLOS BLVD, UNIT # 294, FORT MYERS, FL 33908-2526
(239) 338-8069
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OS7238
FL
Other
Enumeration date
05/05/2010
Last updated
08/12/2011
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