Organization

Suncoast Integrated Medical Center Llc

May also be knows as Suncoast Regenerative Medical Clinic Llc

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

Legal Business Name

Suncoast Integrated Medical Center Llc

Also Known As

Suncoast Regenerative Medical Clinic Llc

NPI Number

1124636196

NPI Type

Organization

Enumeration Date

07/16/2020

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3840 COLONIAL BLVD STE 1
3840 COLONIAL BLVD STE 1

City

Fort Myers
Fort Myers

State

FL
FL

Postal Code

33966-1126
33966-1126

Country

US
US

Telephone Number

(855) 778-6262
(855) 778-6262

Authorized Official

Name

Scott Wadman

Title or Position

COO

Telephone Number

(855) 778-6262

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

Data last updated by provider on 07/05/2023

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