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Organization

PANIRA HEALTHCARE CLINIC, INC,

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIE GENEVE MONGENE-EGGER RN/BSN (COO)
(239) 529-5580
Entity
Organization

Contact information

Practice address
4975 TAMIAMI TRL E, NAPLES, FL 34113-4131
(239) 529-5580
(239) 280-0264
Mailing address
4975 TAMIAMI TRL E, NAPLES, FL 34113-4131
(239) 529-5580
(239) 280-0264

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021195500
FL
Enumeration date
10/27/2022
Last updated
10/27/2022
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