Organization Name: | PERSONALIZED HEALTH CARE INC |
NPI Number: | 1245584283 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES HENRY TOPPING (MANAGER) |
Mailing Address: | 1315 Florida Ave Fort Myers |
State: | FL US |
Postal Code: | 339017707 |
Phone Number: | 2396946246 |
Fax Number: | 2393443333 |
NPI Enumeration Date: | 10/30/2012 |
NPI Last Update Date: | 03/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME88414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |