Individual
PRIMEROSE EMILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 275-3222
(239) 332-0287
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 275-3222
(239) 332-0287
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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