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Organization

IMPACT FOR DEVELOPMENTAL EDUCATION, INC

Active
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Organization

IMPACT FOR DEVELOPMENTAL EDUCATION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MAXINE GIBBS (EXECUTIVE DIRECTOR)
(239) 628-1061
Entity
Organization

Contact information

Practice address
1650 MEDICAL LN STE 4, FORT MYERS, FL 33907-1116
(239) 628-1061
Mailing address
PO BOX 51319, FORT MYERS, FL 33994-1319
(239) 239-1061

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
252Y00000X
Early Intervention Provider Agency
Primary
261Q00000X
Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
811806000
FL
Enumeration date
02/14/2007
Last updated
05/27/2026
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