Organization
LUXOR INDUSTRIES-PHYSICIANS GROUP NORTH FORT MYERS FL DIVISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LYNN E SWEENEY (BILLING PRESIDENT)
(727) 674-8079
Entity
Organization
Contact information
Practice address
1890 N TAMIAMI TRL, UNIT F, NORTH FORT MYERS, FL 33903-3340
(863) 244-9585
Mailing address
1890 N. TAMIAMI TRAIL, UNIT F, NORTH FORT MYERS, FL 33917
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
05/29/2009
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