Organization
EVANS AVENUE HEALTH CARE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAIN LEON (PRESIDENT)
(786) 314-0539
Entity
Organization
Contact information
Practice address
4048 EVANS AVE, SUITE 306, FORT MYERS, FL 33901-9322
(786) 314-0539
Mailing address
4048 EVANS AVE, SUITE 306, FORT MYERS, FL 33901-9322
(786) 314-0539
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
About Stedi
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