Providence Family Life Center Corporation

LBN: Providence Family Life Center Corporation
Providence Family Life Center Corporation is an health care organization with primary practice located at 3592 Broadway Ste 100 , Fort Myers FL 33901-8056. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Providence Family Life Center Corporation can be contacted via phone (239) 676-3159, or through Kohler, Laura via phone (813) 720-7694.

Contact Information

Primary practice address
3592 Broadway Ste 100 Fort Myers FL 33901-8056
Phone: (239) 676-3159
Fax: (239) 519-9202
Website:
Map and Directions
Authorized official contact:
Name: Kohler, Laura
Phone: (813) 720-7694

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1326773045
LBN Legal business name Providence Family Life Center Corporation
DBA Doing business as
Authorized official Kohler, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2022
Last updated Jul 18th, 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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