ELEVATE MEDICAL FORT MYERS, LLC


Address: 1850 Boy Scout Dr Ste A102, Fort Myers, FL 33907-2127
Phone: 8709196686

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Elevate Medical Fort Myers, LLC Former Legal Business Name - Organization

Office Location

Street Address 1850 BOY SCOUT DR STE A102
City FORT MYERS
State FL
Zip Code 33907-2127

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City FORT MYERS
Zip Code 33907

Improve Information

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Dataset Information

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.

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