ERIC S TRATHEN DPM INC
Medical Practice at World Plaza Ln, Fort Myers, FL

License number
Florida PO3472
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. ERIC STEPHEN TRATHEN DPM
Title: PHYSICIAN/PRESIDENT
Phone: (239) 689-1235
Address
Address
12630 World Plaza Ln, Fort Myers, FL 33907
National Provider ID: 1649664426
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ERIC S. TRATHEN DPM, INC

Fort Myers, FL

Registration:
Mar 14, 2011
Addresses:
12630 World Plz Ln SUITE 70, Fort Myers, FL 33907 (Physical)
6777 Willow Lk Cir, Fort Myers, FL 33966
State ID:
P11000026063
Business type:
Florida Profit Corporation
Vice Presidents:
Eric S Trathen (President), 12630 World Plz Ln SUITE 70, Fort Myers, FL 33907 (Physical),Jennifer K. Trathen (Vice President)
Agent:
Trathen, Eric,12630 World Plz Ln SUITE 70, Fort Myers, FL 33907 (Physical)
EIN:
274674428

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