FORT MYERS INTERNAL MEDICINE LLC (NPI# 1346588621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346588621 |
| Entity Type | Organization |
| Organization Name | FORT MYERS INTERNAL MEDICINE LLC |
| Practice Address |
13861 Plantation Rd Unit 104 Ft Myers FL 33912 |
| Practice Telephone | (239) 225-1306 |
| Practice Fax Number | 2397681313 |
| Mailing Telephone | (239) 225-1306 |
| Mailing Fax Number | 2397681313 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | ROBERT HADDAD (OWNER) |
| Authorized Official Telephone | 2392251306 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME106006 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6811 Porto Fino Cir, Fort Myers, FL 339124354 | 2392251306 | 2397681313 |
| Street Address |
13861 PLANTATION RD UNIT 104 |
| City | FT MYERS |
| State | FL |
| Zip Code | 33912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275571572 | Robert M Haddad | Internal Medicine | 13861 Plantation Rd Unit 104, Ft Myers, FL 33912 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265477590 | David Lee West | Internal Medicine | 9722 Commerce Center Ct, Ft Myers, FL 33908-3607 | 2006-06-19 |
| 1275571572 | Robert M Haddad | Internal Medicine | 13861 Plantation Rd Unit 104, Ft Myers, FL 33912 | 2006-06-02 |
| 1013917202 | Diana C Young | Internal Medicine | 16271 Bass Rd, Ft Myers, FL 33908-3616 | 2005-07-28 |
| 1194776989 | Mary Magno Mouracade | Internal Medicine | 7981 Gladiolus Dr, Ft Myers, FL 33908-4154 | 2006-05-15 |
| 1811988660 | Aldith M Lewis | Internal Medicine | 9131 College Pointe Ct, Ft Myers, FL 33919 | 2005-11-01 |
| 1851389407 | Avra Helena Carpousis-bowers | Internal Medicine | 4771 S Cleveland Ave, Ft Myers, FL 33907-1317 | 2005-10-07 |
| 1295722734 | Patrick Bowman | Internal Medicine | 1569 Matthew Dr, Ft Myers, FL 33907-1734 | 2005-09-30 |
| 1619979572 | John Ardesia | Internal Medicine | 16271 Bass Rd, Ft Myers, FL 33908 | 2005-08-11 |
| 1487654430 | George Ball | Internal Medicine | 1569 Matthew Dr, Ft Myers, FL 33907 | 2005-07-29 |
| 1346240488 | Paul Mantell | Internal Medicine | 1569 Matthew Dr, Ft Myers, FL 33907-1734 | 2005-07-29 |
| Find all providers in FT MYERS | ||||
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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.