Dr. Michelle Lea Ramirez , DO
Urology • Biddeford, ME
24 W Cole Rd Ste 104
Biddeford, ME 040059404
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 29, 2008; this date does not establish years in practice.
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Published CMS data list 67 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 26 service units.
- 99214 — Established patient outpatient office visit: 15 service units.
- 52000 — Diagnostic exam of bladder and urethra using an endoscope: 13 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 180 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Cefdinir — 30 prescription fills, including refills.
- Tamsulosin Hcl — 24 prescription fills, including refills.
- Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) — 21 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 10 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 90% of clinicians listed under Urology in Maine (2024, 44 clinicians with data). Median for this group: 385. Middle half: 284 to 689.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,443 in 2019 to 67 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2024.
Practice Location & Contact Primary Location
24 W Cole Rd Ste 104
Biddeford, ME 040059404
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in West Warwick, RI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Select Physical Therapy Holdings Inc; St Marys Regional Medical Center. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
New York College Of Osteo Medicine Of New York Institute Of Technology
2007
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
46 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $4,427 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $3,402 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
248 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$3,558 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,799.68 across 26 records.
By nature of payment
- Food and Beverage: $931.08 across 24 records.
- Travel and Lodging: $783.61 across 1 record.
- Education: $84.99 across 1 record.
Reporting-company totals (3 largest of 12)
- Teleflex LLC: $987.21 across 3 records.
- Calyxo, Inc.: $248.39 across 5 records.
- UROGEN PHARMA, INC.: $165.24 across 5 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2008
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Ramirez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Ramirez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Biddeford and Maine
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under Urology in Maine (2024, 44 clinicians with data). Median for this group: 385. Middle half: 284 to 689.
Too few clinicians listed under Urology in Biddeford have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 90% of clinicians listed under Urology in Maine (2024, 44 clinicians with data). Median for this group: $35,954. Middle half: $24,123 to $62,695.
Too few clinicians listed under Urology in Biddeford have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 90% of clinicians listed under Urology in Maine (2024, 44 clinicians with data). Median for this group: $26,121. Middle half: $15,626 to $47,867.
Too few clinicians listed under Urology in Biddeford have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 80% of clinicians listed under Urology in Maine (2024, 51 clinicians with data). Median for this group: 618. Middle half: 282 to 1,150.
Too few clinicians listed under Urology in Biddeford have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 85% of clinicians listed under Urology in Maine (2024, 51 clinicians with data). Median for this group: $42,096. Middle half: $12,299 to $96,838.
Too few clinicians listed under Urology in Biddeford have Medicare Part D data for 2024 to compare.
3 active clinicians are listed under Urology with a practice address in Biddeford, ME (73 in Maine).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 95% from 1,443 in 2019 to 67 in 2024.
- 2019: 1,443
- 2020: 1,124
- 2021: 763
- 2023: 33
- 2024: 67
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Medicare-allowed amount
Medicare-allowed amount decreased 94% from $73,521 in 2019 to $4,427 in 2024.
- 2019: $73,521
- 2020: $66,809
- 2021: $59,443
- 2023: $1,828
- 2024: $4,427
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Paid by Medicare
Paid by Medicare decreased 94% from $57,837 in 2019 to $3,402 in 2024.
- 2019: $57,837
- 2020: $50,740
- 2021: $46,238
- 2023: $1,463
- 2024: $3,402
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 80% from 920 in 2020 to 180 in 2024.
- 2020: 920
- 2021: 992
- 2022: 294
- 2023: 106
- 2024: 180
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30-day fills
30-day fills decreased 85% from 1,685 in 2020 to 248 in 2024.
- 2020: 1,685
- 2021: 1,947
- 2022: 726
- 2023: 124
- 2024: 248
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Part D drug cost
Part D drug cost decreased 96% from $94,639 in 2020 to $3,558 in 2024.
- 2020: $94,639
- 2021: $94,690
- 2022: $32,603
- 2023: $876
- 2024: $3,558
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $293.56 in 2020 to $1,799.68 in 2025.
- 2020: $293.56
- 2021: $47.86
- 2023: $697.42
- 2024: $1,067.49
- 2025: $1,799.68
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 26 records totaling $1,799.68.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Teleflex LLC |
Travel and Lodging
In-kind items and services
|
UROLIFT | General | $783.61 |
| Teleflex LLC |
Food and Beverage
In-kind items and services
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UROLIFT | General | $149.24 |
| Calyxo, Inc. |
Food and Beverage
In-kind items and services
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CVAC ASPIRATION SYSTEM | General | $124.86 |
| Janssen Pharmaceuticals, Inc |
Education
In-kind items and services
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ERLEADA | General | $84.99 |
| Teleflex LLC |
Food and Beverage
In-kind items and services
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BARRIGEL | General | $54.36 |
| Calyxo, Inc. |
Food and Beverage
In-kind items and services
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CVAC ASPIRATION SYSTEM | General | $51.77 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
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JELMYTO | General | $51.03 |
| Olympus Corporation of the Americas |
Food and Beverage
In-kind items and services
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iTIND System | General | $49.11 |
| Calyxo, Inc. |
Food and Beverage
In-kind items and services
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CVAC ASPIRATION SYSTEM | General | $45.30 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
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JELMYTO | General | $38.26 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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BRIDION | General | $34.95 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
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JELMYTO | General | $33.50 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
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JELMYTO | General | $29.06 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $28.97 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
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GEMTESA | General | $28.69 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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ERLEADA | General | $27.37 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
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iTIND System | General | $27.29 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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BRIDION | General | $24.84 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
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iTIND System | General | $21.42 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Bulkamid | General | $21.21 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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XTANDI | General | $17.44 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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ADSTILADRIN | General | $16.96 |
| Calyxo, Inc. |
Food and Beverage
In-kind items and services
|
CVAC ASPIRATION SYSTEM | General | $16.27 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
ADSTILADRIN | General | $15.60 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
|
— | General | $13.39 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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26 | 21 | $65.00 | $64.54 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
15 | 15 | $133.00 | $95.11 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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13 | 13 | $290.69 | $77.63 |
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74420
Imaging of urinary tract following injection of a contrast agent
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13 | 12 | $41.85 | $24.11 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cefdinir | Cefdinir | 30 | 198 | $427.51 | 29 |
| Tamsulosin Hcl | Tamsulosin Hcl | 24 | 1,860 | $274.19 | 11 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 21 | 460 | $899.66 | 18 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 19 | 169 | $90.03 | 18 |
| Oxycodone Hcl | Oxycodone Hcl | 17 | 47 | $44.87 | 15 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 15 | 448 | $182.59 | — |
| Solifenacin Succinate | Solifenacin Succinate | 15 | 750 | $1,199.90 | — |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 14 | 66 | $54.10 | 14 |
| Levofloxacin | Levofloxacin | 13 | 72 | $47.15 | 13 |
| Dutasteride | Dutasteride | 12 | 780 | $338.07 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20170508000234
ME
8628207016
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Select Physical Therapy Holdings Inc
730 Ctr St, Auburn, ME 042106316
Phone: 2077833450
Select Physical Therapy Holdings Inc
730 Ctr St, Auburn, ME 042106316
Phone: 2077833450
St Marys Regional Medical Center
99 Campus Ave, Lewiston, ME 042406045
Phone: 2077553150
Secondary Practice Locations
207 Quaker Ln, 1st Floor
West Warwick, RI 028932283
Phone: 4018287110
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Family Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 24 W COLE RD STE 104, BIDDEFORD, ME 040059404 (Tel: 1602283207)
NPI status registered as active in NPPES database
Registered at 207 QUAKER LN, 1ST FLOOR, WEST WARWICK, RI 028932283 (Tel: 4018287110)
Registered at 2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 339071412 (Tel: 2399317342)
Recorded as MICHELLE RAMIREZ, D.O.
Surgery (license number reported to NPPES: PA OT012335)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Biddeford
Healthcare providers in BiddefordMailing Address
2234 Colonial Blvd, Attn: Payer Contracting & Relations
Fort Myers, FL 339071412
Phone: 2399317342