Organization
ADVANCED LABS OF SW FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FREY M.D. (MANAGER)
(239) 789-4130
Entity
Organization
Contact information
Practice address
6120 WINKLER RD, SUITE J, FORT MYERS, FL 33919-8125
(239) 789-4130
Mailing address
PO BOX 7131, FORT MYERS, FL 33919-0131
(239) 789-4130
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800027766
FL
Other
Enumeration date
08/07/2015
Last updated
09/14/2015
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