PROVIDENCE FAMILY LIFE CENTER CORPORATION

NPI # 

Practice Address:

3592 Broadway Ste 100

Fort Myers, FL, 33901-8056

Practice Phone:

239-676-3159

Practice Fax:

239-519-9202

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Multi-Specialty

Taxonomy Code:

261QM1300X