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
Specialties
(Taxonomies)Name
Code
207QA0401X
2084A0401X
103K00000X
2084P0804X
2084N0600X
103TC0700X
1041C0700X
101YM0800X
2084P0800X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
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