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NPI Code Detail

MEDICARE: ERNESTINA ANIM LCSW

MEDICARE: ERNESTINA ANIM LCSW
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
11041C0700XClinical Social WorkerFL

General Provider Information

NPI Number : 1629860267
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERNESTINA ANIM LCSW
Provider Business Mailing Address
First Line : 12760 PENNY LN
Second Line :
City : FORT MYERS
State : FL
Zip : 33966-1370
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6360 PRESIDENTIAL CT STE 1
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-3501
Country : US
Telephone Number : 786-373-3027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2025
Last Update Date : 05/20/2025

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Directions to “ ERNESTINA ANIM LCSW” Practice Location

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