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ROYAL PALM MEDICAL GROUP INC NPI 1487985610


NPI Information

NPI: 1487985610
Provider Name: ROYAL PALM MEDICAL GROUP INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2302258

Address:
2665 CLEVELAND AVE STE 102
FORT MYERS, FL
ZIP 33901
Phone: (239) 313-6300
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ROYAL PALM MEDICAL GROUP INC is a clinic center in Fort Myers, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ROYAL PALM MEDICAL GROUP INC NPI is 1487985610. The provider is registered as an organization entity type.

The provider's business location address is:

2665 CLEVELAND AVE STE 102
FORT MYERS, FL
ZIP 33901-884
Phone: (239) 313-6300
Fax: (239) 689-5524

The provider's authorized official is Lazaro Gonzalez .
The authorized official title is Owner and has the following contact phone number (239) 313-6300.

The CLIA number assigned to this NPI record is 10D2302258 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2010 and was last updated on 2/10/2021.


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
1261QP2000XClinic/CenterPhysical TherapyMM24026FLORIDANo
2207Q00000XFamily MedicineNo
3261Q00000XClinic/CenterYes

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

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.