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CYPRESS FAMILY MEDICAL CENTER PA NPI 1518050285


NPI Information

NPI: 1518050285
Provider Name: CYPRESS FAMILY MEDICAL CENTER PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D1055991

Address:
9371 CYPRESS LAKE DRIVE
SUITE 16
FORT MYERS, FL
ZIP 33919
Phone: (239) 454-0500
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CYPRESS FAMILY MEDICAL CENTER PA is an internal medicine in Fort Myers, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CYPRESS FAMILY MEDICAL CENTER PA NPI is 1518050285. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9371 CYPRESS LAKE DRIVE
SUITE 16
FORT MYERS, FL
ZIP 33919-945
Phone: (239) 454-0500
Fax: (239) 454-0663

The provider's authorized official is Santokh Singh Walha .
The authorized official title is President and has the following contact phone number (239) 454-0500.

The CLIA number assigned to this NPI record is 10D1055991 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 1/20/2010.


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
1207R00000XInternal MedicineME72023FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1253868700MEDICAIDFLORIDA
242986OTHERBCBS FL
3F59607MEDICARE UPIN
4K3467MEDICARE PIN

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.