Organization
INTEGRATED COMPREHENSIVE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD HANDY LCSW (COO)
(239) 935-5599
Entity
Organization
Contact information
Practice address
9400 GLADIOLUS DR, SUITE 340, FORT MYERS, FL 33908-6699
(239) 935-5599
(239) 313-5614
Mailing address
9400 GLADIOLUS DR, SUITE 340, FORT MYERS, FL 33908-6699
(239) 935-5599
(239) 313-5614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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