Organization
CLINIC NOVA VIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSVEL SOSA LOPEZ APRN (PROVIDER)
(315) 992-0541
Entity
Organization
Contact information
Practice address
4110 CENTER POINTE DR # 220, FORT MYERS, FL 33916-9450
(315) 992-0541
Mailing address
4110 CENTER POINTE DR # 220, FORT MYERS, FL 33916-9450
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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