Provider Demographics
NPI:1902404809
Name:RHC FT MYERS LLC
Entity Type:Organization
Organization Name:RHC FT MYERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURGASEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-689-9743
Mailing Address - Street 1:15750 NEW HAMPSHIRE CT STE D
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-4100
Mailing Address - Country:US
Mailing Address - Phone:813-460-2098
Mailing Address - Fax:
Practice Address - Street 1:15750 NEW HAMPSHIRE CT STE D
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-4100
Practice Address - Country:US
Practice Address - Phone:813-460-2098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty