Organization

Hopebridge Llc

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

Legal Business Name

Hopebridge Llc

NPI Number

1649932989

NPI Type

Organization

Enumeration Date

10/13/2021

Specialties

(Taxonomies)

Code

2084P0804X
103TC0700X
103T00000X

Primary Taxonomy

Yes
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

(855) 324-0885
(239) 291-5088

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 10/13/2021

Provider Address

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