FLORIDA GULF COAST UNIVERISTY (NPI# 1275141558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275141558 |
| Entity Type | Organization |
| Organization Name | FLORIDA GULF COAST UNIVERISTY |
| Practice Address |
10501 Fgcu Blvd S Fort Myers FL 33965-6502 |
| Practice Telephone | 2397424299 |
| Practice Fax Number | 2395907398 |
| Mailing Telephone | 2397424299 |
| Mailing Fax Number | 2395907398 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | PAULA NECOLE NEAL (ASST. AD FOR HEALTH PERFORMANCE) |
| Authorized Official Telephone | 2397454299 |
| Authorized Official Credential | LAT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | ME80216 | 01 |
| Street Address |
10501 FGCU BLVD S |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33965-6502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368753 | Christie D. Shore | Nurse Practitioner | 10501 Fgcu Blvd S, Student Health Center/fgcu, Fort Myers, FL 33965-6502 | 2005-07-01 |
| 1053924100 | John Thomas Rowell | Physical Medicine & Rehabilitation | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6565 | 2020-08-28 |
| 1679185961 | Brett A Clinton | Registered Nurse | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2020-08-19 |
| 1164041448 | Tess Fleming | Specialist/Technologist | 10501 Fgcu Blvd S, Fort Myers, FL 33965-2541 | 2020-04-16 |
| 1952937609 | Jacqueline Joy Battjes | Registered Nurse | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2020-03-13 |
| 1811520901 | Florida Gulf Coast University | Clinic/Center | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6565 | 2020-02-17 |
| 1326576836 | Colleen Weber | Specialist/Technologist | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2017-05-28 |
| 1932645694 | Khuri Black | Student in an Organized Health Care Education/Training Program | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2017-01-18 |
| 1871946368 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2016-07-20 |
| 1124425426 | Brittany Loring | Specialist/Technologist | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2014-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326322207 | Lori D Carroll | Social Worker | 10501 Fgcu Blvd South, Department of Social Work, Fort Myers, FL 33965 | 2011-10-10 |
| 1093227951 | Devon Benson | Specialist/Technologist | 1000 Fgcu Campus Housing Cy04, Fort Myers, FL 33965-0001 | 2017-11-01 |
| 1255385092 | Michael A. Estes | Specialist/Technologist | Florida Gulf Coast University, 10501 Fgcu Blvd. South, Ft Myers, FL 33965-0001 | 2006-05-19 |
| 1437231677 | Rebecca Lou Johnson | Emergency Medicine | Florida Gulf Coast University, 10501 Fgcu Blvd. South, Fort Myers, FL 33965-0001 | 2006-10-19 |
| 1033315213 | Jean Hershey Fitch | Nurse Practitioner | Florida Gulf Coast University Student Health Services, 10501 Fgcu Boulevard South, Fort Myers, FL 33965-6565 | 2007-06-25 |
| 1396951497 | George Joseph Arthur Magnant | Pediatrics | Fgcu Student Health Services Ctr, 10501 Fgcu Blvd .s., Fort Myers, FL 33965-6565 | 2007-05-15 |
| 1487723581 | Florida Gulf Coastuniversity Wellness Center | Clinic/Center | Florida Gulf Coast University, 10501 Fgcu Boulevard S., Fort Myers, FL 33965-6565 | 2006-11-06 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404809 | Rhc Ft Myers LLC | Family Medicine | 7051 Cypress Ter Ste 106, Fort Myers, FL 33907-8801 | 2020-10-13 |
| 1295373660 | Caloosa Medical Center, LLC | Family Medicine | 14651 Palm Beach Blvd Ste 100, Fort Myers, FL 33905-2331 | 2019-12-17 |
| 1669945119 | Cleveland Rehabilitation Center, LLC | Family Medicine | 35 Barkley Cir Ste 1&2, Fort Myers, FL 33907-7601 | 2019-01-08 |
| 1003388083 | Annie Taylor Millis | Family Medicine | 15420 Cemetery Rd, Fort Myers, FL 33905-7532 | 2019-01-01 |
| 1194189852 | Hailon Wong | Family Medicine | 2780 Cleveland Ave Ste 8709, Fort Myers, FL 33901-5858 | 2016-04-08 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1801154794 | Ashley M Warmoth | Family Medicine | 12545 New Brittany Blvd Ste 26, Fort Myers, FL 33907-3625 | 2012-04-27 |
| 1699055376 | Health Bridges Medical Center | Family Medicine | 4380 Cleveland Ave, C3, Fort Myers, FL 33901 | 2011-08-25 |
| 1548587025 | Carl Russell Gillette | Family Medicine | 15448 Fiddlesticks Blvd, Fort Myers, FL 33912-4022 | 2010-04-23 |
| 1982920625 | Locums Doc Inc | Family Medicine | 8772 Tropical Ct, Fort Myers, FL 33908-9240 | 2010-04-19 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33965 |
Please comment or provide details below to improve the information on FLORIDA GULF COAST UNIVERISTY.
| 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.