PEDIATRIC CENTERS OF LEE CO (NPI# 1205989183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205989183 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CENTERS OF LEE CO |
| Practice Address |
4048 Evans Ave Ste 209 Ft Myers FL 33901 |
| Practice Telephone | 2392789983 |
| Practice Fax Number | 2392789985 |
| Mailing Telephone | 2392789983 |
| Mailing Fax Number | 2392789985 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | MR. CARLOS L MORALES (OFFICE MANAGER) |
| Authorized Official Telephone | 2392789983 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 255363500 | 05 |
| Street Address |
4048 EVANS AVE STE 209 |
| City | FT MYERS |
| State | FL |
| Zip Code | 33901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011749 | Diego P Andrade | Anesthesiology | 4048 Evans Ave, Ste 303, Ft Myers, FL 33901-9390 | 2005-05-27 |
| 1003974783 | Osvaldo R Morales Del Castillo | Pediatrics | 4048 Evans Ave, Suite 209, Ft Myers, FL 33901 | 2006-12-05 |
| 1306812334 | Patricia Blender | Nurse Anesthetist, Certified Registered | 4048 Evans Ave, Ste 303, Ft Myers, FL 33901-9322 | 2006-02-28 |
| 1619943685 | Michelle Hartman | Nurse Anesthetist, Certified Registered | 4048 Evans Ave, Ste 303, Ft Myers, FL 33901-9322 | 2006-02-28 |
| 1184690166 | Daniel J Krauss | Anesthesiology | 4048 Evans Ave, Ste 303, Ft Myers, FL 33901-9322 | 2006-02-28 |
| 1093781023 | Sandra Rosado | Nurse Anesthetist, Certified Registered | 4048 Evans Ave, Ste 303, Ft Myers, FL 33901-9322 | 2006-02-28 |
| 1679549638 | Ross Fitch | Nurse Anesthetist, Certified Registered | 4048 Evans Ave, Ste 303, Ft Myers, FL 33901-9322 | 2006-02-28 |
| 1922070424 | Jana L Jones | Nurse Anesthetist, Certified Registered | 4048 Evans Ave, Ste 303, Ft Myers, FL 33901-9322 | 2006-02-07 |
| 1043282080 | Carlos Lighdano Chavez | Anesthesiology | 4048 Evans Ave, Ste 303, Ft Myers, FL 33901-9322 | 2006-02-03 |
| 1295715381 | West Coast Rehab | Occupational Therapist | 4048 Evans Ave, Ste 203, Ft Myers, FL 33901-9322 | 2006-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790946069 | Patrick Shin Maeng | Pediatrics | 7970 Summer Lakes Dr, 200, Ft Myers, FL 33907 | 2008-06-19 |
| 1093955122 | Rolando Chuquimia | Pediatrics | 9981 S Healthpark Dr, Suite 619, Ft Myers, FL 33908 | 2009-03-03 |
| 1932370681 | Cameron Lee Nicholson | Pediatrics | 9981 S Healthpark Dr, Suite 156, Ft Myers, FL 33908-3618 | 2008-03-20 |
| 1003974783 | Osvaldo R Morales Del Castillo | Pediatrics | 4048 Evans Ave, Suite 209, Ft Myers, FL 33901 | 2006-12-05 |
| 1720178544 | Yanet Rios | Pediatrics | 9981 Healthpark Drive, Ft Myers, FL 33908-3618 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.