Organization

Caloosa Medical Center, Llc

Family Medicine Physician in Fort Myers, FL(View on Map)

Legal Business Name

Caloosa Medical Center, Llc

NPI Number

1295373660

NPI Type

Organization

Enumeration Date

12/17/2019

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

5180 JACKSON RD
14651 PALM BEACH BLVD STE 100

City

Fort Myers
Fort Myers

State

FL
FL

Postal Code

33905-7518
33905-2331

Country

US
US

Telephone Number

(239) 849-6620
(239) 849-6620

Authorized Official

Name

Dr. Clarennce Scott

Title or Position

MANAGING PARTNER

Telephone Number

(239) 849-6620

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

Data last updated by provider on 12/17/2019

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