NPI 1538812219

Freddy Glenn Feidanga Temodea

Practitioner Technician Fort Myers, FL

Practice location

Address: 4795 Mirage Bay Cir Unit 303, Fort Myers, FL 33966-6656
Phone: (646) 474-4776

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X

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Registry record

NPI: 1538812219
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2022
Record last updated: 1 Feb 2022

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.