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Individual

MRS. AMY MARIE LEMONIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CO, LO, LPR

Contact information

Practice address
3660 CENTRAL AVE, SUITE 6, FORT MYERS, FL 33901-7699
(239) 936-3736
(239) 936-1171
Mailing address
3660 CENTRAL AVE, SUITE 6, FORT MYERS, FL 33901-7699
(239) 936-3736
(239) 936-1171

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ORT184
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ORT184
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
06/10/2010
Last updated
06/10/2010
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