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NPI Code Detail

MEDICARE: ORTHOPEDIC PROMPT CARE, LLC

MEDICARE: ORTHOPEDIC PROMPT CARE, LLC
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
1208100000XPhysical Medicine & Rehabilitation Physician
2207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1760780779
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPEDIC PROMPT CARE, LLC
Provider Business Mailing Address
First Line : 2531 CLEVELAND AVE
Second Line : SUITE 1
City : FORT MYERS
State : FL
Zip : 33901-4900
Country : US
Telephone Number : 239-334-7000
Fax Number : 239-334-7070
Provider Business Practice Location Address
First Line : 2531 CLEVELAND AVE
Second Line : SUITE 1
City : FORT MYERS
State : FL
Zip : 33901-4900
Country : US
Telephone Number : 239-334-7000
Fax Number : 239-334-7070
Authorized Official
Title or Position : DIRECTOR OF CLINICAL INFORMATION
Name : DEBRA BRADLEY-GUENTHER
Credential :
Telephone Number : 239-461-3691
Provider Enumeration Date : 03/01/2011
Last Update Date : 03/01/2011

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Directions to “ORTHOPEDIC PROMPT CARE, LLC ” Practice Location

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