NPI Code Details Logo

NPI 1750012290

NPI 1750012290 : BEST CARE JOINT CENTER, LLC : FORT MYERS, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1750012290
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BEST CARE JOINT CENTER, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/23/2022
-----------------------------------------------------
    Last Update Date     |    06/23/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3509 FOWLER ST 
-----------------------------------------------------
    City                 |    FORT MYERS
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33901-0925
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    239-789-1089
-----------------------------------------------------
    Fax                  |    239-789-1085
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3509 FOWLER ST 
-----------------------------------------------------
    City                 |    FORT MYERS
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33901-0925
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    239-789-1089
-----------------------------------------------------
    Fax                  |    239-789-1085
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGER
-----------------------------------------------------
    Name                 |     DAWN  HAZZARD 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    239-789-1089
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QP2000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapy Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.