PSYCHIATRIC CENTER OF FLORIDA
Marriage and Family Therapists at World Plaza Ln, Fort Myers, FL

License number
Florida ME058989
Category
Marriage and Family Therapists
Type
Family
Owner
Name: BRENDA L KEEFER M.D.
Title: PRESIDENT
Phone: (239) 939-2205
Address
Address
12641 World Plaza Ln SUITE 56, Fort Myers, FL 33907
National Provider ID: 1609030899
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PSYCHIATRIC CENTER OF FLORIDA, PA

12641 World Plz Ln #56, Fort Myers, FL 33907

Status:
Inactive
Doing business as:
Psychiatric Center of Florida<br>Psychiatric Center of Florida - Brenda L Keefer MD
Inactive reason:
CORPORATE MERGER
Registration:
Mar 18, 1998
Inactive since:
Jul 1, 1998
Phone:
(239) 939-2205 (Phone)
State ID:
P98000025358
Business type:
Florida Profit Corporation
Secretary, Medical Doctors:
Brenda Lm.d. Keefer (President, Director, Vice-President, Psychiatry), 12641 World Plz Ln #56, Fort Myers, FL 33907 (Physical),Robert Newman (President),Mary Eggelston (Office Manager),...
Agent:
Brenda Keefer,12641 World Plz Ln #56, Fort Myers, FL 33907 (Physical)
EIN:
65-0820705

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