Goodwill Industries Of Southwest Florida Inc.

LBN: Goodwill Industries Of Southwest Florida Inc.
Goodwill Industries Of Southwest Florida Inc. is an health care organization with primary practice located at 5100 Tice St , Fort Myers FL 33905-5203. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Goodwill Industries Of Southwest Florida Inc. can be contacted via phone (239) 995-2106, or through Tursi, Jessica via phone (239) 995-2106.

Contact Information

Primary practice address
5100 Tice St Fort Myers FL 33905-5203
Phone: (239) 995-2106
Fax: (239) 652-1655
Website:
Map and Directions
Authorized official contact:
Name: Tursi, Jessica
Phone: (239) 995-2106

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1407509771
LBN Legal business name Goodwill Industries Of Southwest Florida Inc.
DBA Doing business as
Authorized official Tursi, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2022
Last updated Jan 27th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407509771 NPPES
Florida MEDICAID 008999800

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