Healthcare Provider Details

I. General information

NPI: 1912673575
Provider Name (Legal Business Name): REMOTE MONITORING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13381 SEASIDE HARBOUR DR
NORTH FORT MYERS FL
33903-7119
US

IV. Provider business mailing address

13381 SEASIDE HARBOUR DR
NORTH FORT MYERS FL
33903-7119
US

V. Phone/Fax

Practice location:
  • Phone: 347-852-5705
  • Fax:
Mailing address:
  • Phone: 347-852-5705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BALDIR A LOPEZ ACOSTA
Title or Position: MANAGER
Credential: MD
Phone: 239-230-2273