FORT MYERS PEDIATRICS LLC (NPI# 1972823409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972823409 |
| Entity Type | Organization |
| Organization Name | FORT MYERS PEDIATRICS LLC |
| Practice Address |
5285 Summerlin Rd Ste 101 Fort Myers FL 33919-7601 |
| Practice Telephone | 2398486445 |
| Practice Fax Number | 2393622903 |
| Mailing Telephone | 2398486445 |
| Mailing Fax Number | 2393622903 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | ROLANDO T OTERO (GENERAL MANAGER) |
| Authorized Official Telephone | 2398486445 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
5285 SUMMERLIN RD STE 101 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| 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 |
|---|---|---|---|---|
| 1174980031 | Christina Helen Hodges | Pediatrics | 1676 Morning Glory Ct, Fort Myers, FL 33901-9664 | 2016-01-24 |
| 1144572249 | Victoria Sydeco Tayengco-maisog | Pediatrics | 9304 Trieste Drive, Fort Myers, FL 33913 | 2012-10-12 |
| 1790066983 | De La Vega Pediatrics, Corp. | Pediatrics | 31 Barkley Cir, Suite 1, Fort Myers, FL 33907-7628 | 2011-09-01 |
| 1689804148 | Daniel Eric Eason | Pediatrics | 16281 Bass Rd, Suite 301, Fort Myers, FL 33908 | 2009-07-19 |
| 1609026590 | Paul P Lorenz | Pediatrics | 12010 Rosemount Dr, Fort Myers, FL 33913-8378 | 2008-09-26 |
| 1669634036 | Leigh Ruth Sweet | Pediatrics | 9981 S Healthpark Dr Ste 454, Fort Myers, FL 33908-3618 | 2008-06-27 |
| 1043488539 | Hetty Zoe Snyderman | Pediatrics | 21 Carrotwood Ct, Fort Myers, FL 33919-7531 | 2008-02-18 |
| 1538354089 | Judith Toffel-liccini | Pediatrics | 20 Carrotwood Ct, Fort Myers, FL 33919-7531 | 2007-09-07 |
| 1396951497 | George Joseph Arthur Magnant | Pediatrics | Fgcu Student Health Services Ctr, 10501 Fgcu Blvd .s., Fort Myers, FL 33965-6565 | 2007-05-15 |
| 1932327681 | Michelle Ann Hoffman | Pediatrics | 9881 S Health Park Dr, Suite 454, Fort Myers, FL 33908-3618 | 2007-04-20 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
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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.