Organization
SOUTH WEST FLORIDA COMPLETE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY HOUSEMAN APRN (MANAGER)
(239) 738-8311
Entity
Organization
Contact information
Practice address
227 SE 43RD TER, CAPE CORAL, FL 33904-8424
(239) 738-8311
Mailing address
227 SE 43RD TER, CAPE CORAL, FL 33904-8424
(239) 738-8311
(239) 778-9789
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
09/17/2024
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