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Need more information? Contact us today!
Address
2668 Winkler Avenue
Fort Myers, FL 33901
Phone
239-985-6400
Toll-Free: 866-659-7223
Hearing Impaired: 800-995-8771
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Appoint a Representative
You will be leaving the Hope PACE website to view the form below. If an enrollee would like to appoint a person to file a grievance, request a coverage determination, or request an appeal on his or her behalf, the enrollee and the person accepting the appointment must fill out this form (or a written equivalent) and submit it with the request.