CLINIC NOVA VIDA NPI 1780516377

NPI Information

  • NPI: 1780516377
  • Provider Name: CLINIC NOVA VIDA
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 4110 CENTER POINTE DR # 220
    FORT MYERS, FL
    ZIP 33916
  • Phone: (315) 992-0541

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NPI Details

CLINIC NOVA VIDA is a general practice in Fort Myers, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CLINIC NOVA VIDA NPI is 1780516377. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4110 CENTER POINTE DR # 220
FORT MYERS, FL
ZIP 33916-450
Phone: (315) 992-0541

The provider's authorized official is Yosvel Sosa Lopez .
The authorized official title is Provider and has the following contact phone number (315) 992-0541.

The enumeration date for this NPI number is 5/30/2026 and was last updated on 5/30/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 11/21/2025

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