Organization
SOUTHWEST FLORIDA MEDICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE GIVENTER MD (MEDICAL DIRECTOR)
(239) 274-3004
Entity
Organization
Contact information
Practice address
9240 BONITA BEACH RD SE, SUITE 2206, BONITA SPRINGS, FL 34135-4249
(239) 274-3004
(239) 274-6007
Mailing address
3822 BROADWAY, SUITE C, FORT MYERS, FL 33901-8148
(239) 274-3004
(239) 274-6007
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME22095
FL
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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