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NPI Code Detail

MEDICARE: NGM WELLNESS INC.

MEDICARE: NGM WELLNESS 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
1261QM0850XAdult Mental Health Clinic/Center
2261QM1300XMulti-Specialty Clinic/Center
3261Q00000XClinic/Center

General Provider Information

NPI Number : 1730040965
Entity Type Code : Organization
Provider Name (Legal Business Name) : NGM WELLNESS INC.
Provider Business Mailing Address
First Line : 1500 COLONIAL BLVD STE 102
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-1025
Country : US
Telephone Number : 239-292-0252
Fax Number :
Provider Business Practice Location Address
First Line : 1500 COLONIAL BLVD STE 102
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-1025
Country : US
Telephone Number : 239-292-0252
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : NORGE GARCIA
Credential :
Telephone Number : 239-292-0252
Provider Enumeration Date : 11/18/2025
Last Update Date : 12/11/2025

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Directions to “NGM WELLNESS INC. ” Practice Location

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