Organization
METRO MEDICAL CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J BORMAN M.D. (OWNER/CEO)
(847) 894-1127
Entity
Organization
Contact information
Practice address
3940 METRO PKWY STE 103, FORT MYERS, FL 33916-9407
(561) 401-0568
Mailing address
3940 METRO PKWY STE 103, FORT MYERS, FL 33916-9407
(561) 401-0568
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
ME124453
FL
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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