Organization
MAGNIFICO MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN IGLESIAS (OWNER)
(239) 208-2146
Entity
Organization
Contact information
Practice address
4531 DELEON ST STE 201, FORT MYERS, FL 33907-1280
(239) 208-2146
(239) 672-8620
Mailing address
4531 DELEON ST STE 201, FORT MYERS, FL 33907-1280
(239) 208-2146
(239) 672-8620
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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