Organization Name: | JETER ENTERPRISES INC |
NPI Number: | 1508890575 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK E JETER (PRESIDENT) |
Mailing Address: | 615 Cape Coral Pkwy W Suite #105 Cape Coral |
State: | FL US |
Postal Code: | 339146593 |
Phone Number: | 2395492225 |
Fax Number: | 2395492265 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 04/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | CH0006411 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |