Provider Type Icon

CALOOSA MEDICAL CENTER LLC NPI 1295373660


NPI Information

NPI: 1295373660
Provider Name: CALOOSA MEDICAL CENTER, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
14651 PALM BEACH BLVD STE 100
FORT MYERS, FL
ZIP 33905
Phone: (239) 849-6620
Get Directions

CALOOSA MEDICAL CENTER, LLC is a family medicine in Fort Myers, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CALOOSA MEDICAL CENTER, LLC NPI is 1295373660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14651 PALM BEACH BLVD STE 100
FORT MYERS, FL
ZIP 33905-331
Phone: (239) 849-6620

The provider's authorized official is Clarennce A Scott .
The authorized official title is Managing Partner and has the following contact phone number (239) 849-6620.

The enumeration date for this NPI number is 12/17/2019 and was last updated on 12/17/2019.


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
1207Q00000XFamily MedicineYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.