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FORT MYERS PEDIATRICS LLC NPI 1972823409


NPI Information

NPI: 1972823409
Provider Name: FORT MYERS PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2008449

Address:
13770 PLANTATION RD STE 1
FORT MYERS, FL
ZIP 33912
Phone: (239) 689-5561
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FORT MYERS PEDIATRICS LLC is a pediatrics in Fort Myers, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FORT MYERS PEDIATRICS LLC NPI is 1972823409. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13770 PLANTATION RD STE 1
FORT MYERS, FL
ZIP 33912-460
Phone: (239) 689-5561
Fax: (239) 689-5958

The provider's authorized official is Rolando T Otero .
The authorized official title is General Manager and has the following contact phone number (239) 848-6445.

The CLIA number assigned to this NPI record is 10D2008449 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2010 and was last updated on 4/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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