Organization
THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC
Active
Parent organization
THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC
Other names
Shell Point
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC
Authorized official
TASHA MARIE VASSAR (MEDICAL BILLING MANAGER)
(239) 433-7937
Entity
Organization
Contact information
Practice address
13880 SHELL POINT PLAZA, SUITE 110, FORT MYERS, FL 33908
(239) 466-1111
(239) 454-2111
Mailing address
13880 SHELL POINT PLAZA, SUITE 110, FORT MYERS, FL 33908-3504
(239) 454-2146
(239) 454-2111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/15/2006
Last updated
02/14/2022
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