Organization
SUNSHINE CARDIOVASCULAR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE BEAULIEU (REGISTERED AGENT)
(239) 247-2118
Entity
Organization
Contact information
Practice address
8695 COLLEGE PKWY, FORT MYERS, FL 33919-4809
(239) 823-2408
(877) 334-9599
Mailing address
8695 COLLEGE PKWY, FORT MYERS, FL 33919-4809
(239) 823-2408
(877) 334-9599
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
06/25/2015
Last updated
04/20/2016
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