Organization
MILESTONES WELLNESS CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS KOVACS DO (CHIEF MEDICAL OFFICER)
(239) 931-0907
Entity
Organization
Contact information
Practice address
3900 BROADWAY, STE 7, FORT MYERS, FL 33901-8193
(239) 931-0907
(239) 309-0330
Mailing address
3900 BROADWAY, STE 7, FORT MYERS, FL 33901-8193
(239) 931-0907
(239) 309-0330
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
OS1417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BUS2016-00728
FLORIDA TAX PERMIT
FL
Enumeration date
09/30/2016
Last updated
09/30/2016
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