Organization
KIMBERLY REGENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MICHAEL MOURACADE (PRINCIPAL/OWNER)
(239) 313-0296
Entity
Organization
Contact information
Practice address
8695 COLLEGE PARKWAY, SUITE 2080, FT MYERS, FL 33919
(239) 313-0296
Mailing address
14661 DOUBLE EAGLE COURT, FT MYERS, FL 33912
(239) 313-0296
(239) 939-1070
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/03/2016
Last updated
07/21/2016
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