Provider Demographics
NPI:1568710853
Name:FMB MEDICAL LLC
Entity Type:Organization
Organization Name:FMB MEDICAL LLC
Other - Org Name:ESTERO ISLAND MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-463-5741
Mailing Address - Street 1:7205 ESTERO BLVD STE 733
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33931-4779
Mailing Address - Country:US
Mailing Address - Phone:239-463-5741
Mailing Address - Fax:239-463-5578
Practice Address - Street 1:7205 ESTERO BLVD STE 733
Practice Address - Street 2:
Practice Address - City:FORT MYERS BEACH
Practice Address - State:FL
Practice Address - Zip Code:33931-4779
Practice Address - Country:US
Practice Address - Phone:239-463-5741
Practice Address - Fax:239-463-5578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-17
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty