Organization
JEC PHYSICIAN SERVICES, LLC
Active
Other names
Comprehensive Sleep Care of SWFL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIO E CONRADO M.D. (PRESIDENT)
(239) 444-8969
Entity
Organization
Contact information
Practice address
5272 SUMMERLIN COMMONS WAY STE 603, FORT MYERS, FL 33907-2156
(239) 444-8969
(239) 466-2035
Mailing address
5272 SUMMERLIN COMMONS WAY STE 603, FORT MYERS, FL 33907-2156
(239) 444-8969
(239) 466-2035
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
ME70286
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
ME70286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31742
BCBS
FL
Enumeration date
06/08/2017
Last updated
10/29/2024
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