ELEVATE MEDICAL FORT MYERS, LLC (NPI# 1306461447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306461447 |
Entity Type | Organization |
Organization Name | ELEVATE MEDICAL FORT MYERS, LLC |
Practice Address |
1850 Boy Scout Dr Ste A102 Fort Myers FL 33907-2127 |
Practice Telephone | 8709196686 |
Practice Fax Number | 6625600161 |
Mailing Telephone | 6625010043 |
Mailing Fax Number | 6625600161 |
Enumeration Date | 2020-06-15 |
Last Update Date | 2020-06-15 |
Authorized Official Name | JEREMY MITCHELL (OWNER) |
Authorized Official Telephone | 8709196686 |
Authorized Official Credential | BSN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Elevate Medical Fort Myers, LLC | Former Legal Business Name - Organization |
Street Address |
1850 BOY SCOUT DR STE A102 |
City | FORT MYERS |
State | FL |
Zip Code | 33907-2127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
Find all providers in zip 33907 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1427358035 | Neuropathy Medical Center of Florida | Clinic/Center | 13700 Cypress Terrace Cir, Fort Myers, FL 33907-8819 | 2010-10-28 |
1689165805 | Multi-care Medical of Sw Florida, Pllc | Clinic/Center | 13701 Cypress Terrace Cir, Fort Myers, FL 33907-8828 | 2018-05-23 |
1962955971 | Nextep Counseling and Clinical Services | Clinic/Center | 6314 Corporate Ct Ste 110, Fort Myers, FL 33919-3516 | 2016-07-26 |
1821459322 | Wellness By Physicians, Inc. | Clinic/Center | 6150 Diamond Centre Ct Bldg 100, Fort Myers, FL 33912-4367 | 2016-03-10 |
1275711889 | Kid Spirit, Inc. | Clinic/Center | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2008-02-06 |
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1770182073 | Medical Regenerative Centers | Clinic/Center | 1560 Central Ave Unit 462, Saint Petersburg, FL 33705-1627 | 2020-10-19 |
1821696766 | Advanced Healthcare Integration, LLC | Clinic/Center | 445 Pineda Ct Ste 200, Melbourne, FL 32940-7555 | 2020-10-13 |
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1992318521 | Acuity Urgent Care | Clinic/Center | 310 Nesbit St, Punta Gorda, FL 33950-3828 | 2020-08-24 |
1932718509 | Coral Diagnostic Center Inc | Clinic/Center | 12002 Sw 128th Ct Ste 202, Miami, FL 33186-4643 | 2020-07-29 |
1902422215 | Andreu Health Care Therapy Corp | Clinic/Center | 175 Fontainebleau Blvd Ste 2g7, Miami, FL 33172-7012 | 2020-06-23 |
1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
1689294928 | Pink Petal Health and Wellness Center, LLC. | Clinic/Center | 2101 Sw 101st Ave Ste 206, Miramar, FL 33025-5090 | 2020-04-16 |
Find all providers with the same taxonomy |
City | FORT MYERS |
Zip Code | 33907 |
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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.