MEDICARE: PEOPLE SOLUTIONS OF SW FL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1790583979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLE SOLUTIONS OF SW FL LLC

Provider Business Mailing Address
First Line	:	28089 VANDERBILT DR STE 102
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34134-7521
Country	:	US
Telephone Number	:	239-301-2139
Fax Number	:

Provider Business Practice Location Address
First Line	:	28089 VANDERBILT DR STE 102
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34134-7521
Country	:	US
Telephone Number	:	239-301-2139
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BILDORIS FERNANDEZ
Credential	:
Telephone Number	:	239-301-2139

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	03/04/2025

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