Organization
FLORIDA GULF COAST UNIVERSITY
Active
Organization
FLORIDA GULF COAST UNIVERSITY
Active
Parent organization
FLORIDA GULF COASTUNIVERSITY WELLNESS CENTER
Other names
FGCU Physical Therapy & Rehabilitation Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA GULF COASTUNIVERSITY WELLNESS CENTER
Authorized official
ANNE HANSEN (BUSINESS MANAGER II)
(239) 590-7462
Entity
Organization
Contact information
Practice address
10501 FGCU BLVD S, FORT MYERS, FL 33965-6565
(239) 590-7462
Mailing address
10501 FGCU BLVD S, FORT MYERS, FL 33965-6565
(239) 590-7462
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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