NPI 1700140001

Family Preservation Services

Organisation Preferred Provider Organization Fort Myers, FL

Practice location

Address: 2180 Maravilla Ln, Fort Myers, FL 33901-7221
Phone: (239) 332-8009

Authorised official

Name: Gerard Sprague
Title: Supervisor
Phone: (239) 332-8009

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 650848685 (FL)

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Registry record

NPI: 1700140001
Entity type: Organization
NPI issued: 2 Jul 2012
Record last updated: 2 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.