Provider Demographics
NPI:1831564533
Name:MULTI-CARE ORTHOPEDICS AND SPINAL REHABILITATION, PLLC
Entity type:Organization
Organization Name:MULTI-CARE ORTHOPEDICS AND SPINAL REHABILITATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAUGERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-682-4881
Mailing Address - Street 1:13701 CYPRESS TERRACE CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-8828
Mailing Address - Country:US
Mailing Address - Phone:239-277-1655
Mailing Address - Fax:239-277-1255
Practice Address - Street 1:13701 CYPRESS TERRACE CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-8828
Practice Address - Country:US
Practice Address - Phone:239-277-1655
Practice Address - Fax:239-277-1255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty