MEDICARE: PERSONALIZED HEALTH CARE INC

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	208D00000X	General Practice Physician	ME88414	FL

General Provider Information

NPI Number	:	1245584283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONALIZED HEALTH CARE INC

Provider Business Mailing Address
First Line	:	1315 FLORIDA AVENUE
Second Line	:
City	:	FT MYERS
State	:	FL
Zip	:	33901-7707
Country	:	US
Telephone Number	:	239-694-6246
Fax Number	:	239-344-3333

Provider Business Practice Location Address
First Line	:	1315 FLORIDA AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-7707
Country	:	US
Telephone Number	:	239-694-6246
Fax Number	:	239-344-3333

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. CHARLES HENRY TOPPING
Credential	:
Telephone Number	:	706-625-6555

Provider Enumeration Date	:	10/30/2012
Last Update Date	:	03/08/2013

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Directions to “PERSONALIZED HEALTH CARE INC ” Practice Location

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