Organization
G.I.D. MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IELETH S. LOPEZ VALLADARES (PRESIDENT)
(239) 738-1113
Entity
Organization
Contact information
Practice address
3677 CENTRAL AVE STE I, FORT MYERS, FL 33901-8226
(239) 245-7763
Mailing address
322 NE 26TH TER, CAPE CORAL, FL 33909-8866
(239) 738-1113
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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