Organization

Dna Comprehensive Therapy Services, Llc

May also be knows as Elite Dna Therapy Services

Legal Business Name

Dna Comprehensive Therapy Services, Llc

Also Known As

Elite Dna Therapy Services

NPI Number

1316363757

NPI Type

Organization

Enumeration Date

03/10/2014

Contact
Information

Purpose

Mailing
Location

Address

4310 METRO PKWY STE 205
4310 METRO PKWY STE 205

City

Fort Myers
Fort Myers

State

FL
FL

Postal Code

33916-9416
33916-9416

Country

US
US

Telephone Number

(239) 223-2751
(239) 223-2751

Authorized Official

Name

Elizabeth Dosoretz

Title or Position

PRESIDENT

Telephone Number

(239) 223-2751

Identifiers

Identifier

010784000
017439500
010785500
010785506
022832900
010785504
010785509
010785508

Identifier State

FL
FL
FL
FL
FL
FL
FL
FL

Identifier Issuer

Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

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

Data last updated by provider on 09/30/2020

Provider Address