Organization
REGION MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOSO E HERNANDEZ (PRESIDENT)
(239) 288-5413
Entity
Organization
Contact information
Practice address
3900 BROADWAY, BLDG A UNIT 1, FORT MYERS, FL 33901-8193
(239) 288-5413
Mailing address
3900 BROADWAY, BLDG A UNIT 1, FORT MYERS, FL 33901-8193
(239) 288-5413
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AHCA HCC9389
FL
Other
Enumeration date
03/08/2012
Last updated
06/27/2012
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