Organization
FORT MYERS MEDICAL UNIVERSER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIOMARA VALIDO (CEO)
(239) 244-4331
Entity
Organization
Contact information
Practice address
4531 DELEON ST, FORT MYERS, FL 33907-1278
(239) 244-4331
Mailing address
4351 DELEON ST, SUITE 2, FORT MYERS, FL 33901
(239) 244-4331
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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