Organization
ASSOCIATES IN GERIATRIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD KASIREDDY (OFFICEMANAGER)
(503) 490-4362
Entity
Organization
Contact information
Practice address
6503 PLANTATION PRESERVE CIR N, FORT MYERS, FL 33966-8366
(727) 798-0482
Mailing address
6503 PLANTATION PRESERVE CIR N, FORT MYERS, FL 33966-8366
(727) 798-0482
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/14/2010
Last updated
07/30/2015
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