Organization
WOMEN'S HEALTHCARE OF SW FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARYLE LYNE CLYATT ARNP (OFFICER)
(239) 939-1999
Entity
Organization
Contact information
Practice address
7890 SUMMERLIN LAKES DR, SUITE 3, FORT MYERS, FL 33907-1851
(239) 939-1999
(239) 939-4935
Mailing address
7890 SUMMERLIN LAKES DR, SUITE 3, FORT MYERS, FL 33907-1851
(239) 939-1999
(239) 939-4935
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME59299
FL
207V00000X
Obstetrics & Gynecology Physician
ME92164
FL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008470600
—
FL
Enumeration date
10/29/2012
Last updated
08/30/2013
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