Organization

Hopebridge Llc

Child & Adolescent Psychiatry Physician in Fort Myers, FL(View on Map)

Legal Business Name

Hopebridge Llc

NPI Number

1548833619

NPI Type

Organization

Enumeration Date

07/19/2021

Specialties

(Taxonomies)

Code

2084P0804X
106E00000X
106S00000X
103K00000X
103TC0700X
103TH0100X
103T00000X

Primary Taxonomy

Yes
No
No
No
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

3500 DEPAUW BLVD STE 3070
4150 FORD ST STE 4

City

Indianapolis
Fort Myers

State

IN
FL

Postal Code

46268-6135
33916-9498

Country

US
US

Telephone Number

N/A
(855) 234-0885

Authorized Official

Name

Angie Graff

Title or Position

CONTRACTING/CREDENTIALING MANAGER

Telephone Number

(317) 376-8336

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/19/2021

Provider Address

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Organization

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Organization

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Organization

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Organization

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Organization

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