EASTERN MEDICAL FORT MEYERS (NPI# 1013508878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013508878 |
| Entity Type | Organization |
| Organization Name | EASTERN MEDICAL FORT MEYERS |
| Practice Address | 8900 Sw 24 St #202 Miami FL 33165 |
| Practice Telephone | 3059019551 |
| Practice Fax Number | 7866185219 |
| Mailing Address | 8900 Sw 24 St #202 Miami FL 33165 |
| Mailing Telephone | 3059019551 |
| Mailing Fax Number | 7866185219 |
| Certification Date | 2021-02-03 |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |
| Authorized Official Telephone | 3059019551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians |
| Street Address | 8900 SW 24 ST #202 |
| City | MIAMI |
| State | FL |
| Zip Code | 33165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1801401500 | Paradigm Kids Miami LLC | Behavior Analyst | 11375 Sw 45th St, Miami, FL 33165 | 2020-09-10 |
| 1922643972 | Maritza Suarez | Behavior Technician | 1811 Sw 107th Ave Apt 2301, Miami, FL 33165 | 2019-11-14 |
| 1700439700 | 305 Medical Care Inc | Physical Medicine & Rehabilitation | 8900 Sw 24th, #209, Miami, FL 33165 | 2019-07-18 |
| 1124682299 | Picasso Dental Miami, Inc | General Practice | 9230 Sw 40th St Ste A, Miami, FL 33165 | 2019-04-24 |
| 1538723838 | Mihr Urgent Care Corp | Clinic/Center · Urgent Care | 8900 Sw 24 St. Ste #200, Miami, FL 33165 | 2019-04-23 |
| 1942766670 | Daniel Luis Hernandez | Nurse Practitioner · Family | 10250 Sw 56 St Suit D-103, Miami, FL 33165 | 2019-02-19 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner · Primary Care | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1629551700 | Jorge L Hernandez | Nurse Practitioner · Family | 8710 Sw 41 Terrace, Miami, FL 33165 | 2018-09-13 |
| 1245718857 | Cac Florida Medical Centers, LLC · Conviva Care Center | Clinic/Center | 10453-55 Sw 40 Street, Miami, FL 33165 | 2018-08-06 |
| Find all providers in zip 33165 | ||||
| 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 |
|---|---|---|---|---|
| 1821688946 | Rodolfo Dumenigo Md Pa | 11200 W Flagler St Ste 101, Miami, FL 33174-1182 | 2021-01-22 | |
| 1619567153 | Yanisely Seruto | 15996 Sw 83rd Ter, Miami, FL 33193-3084 | 2021-01-19 | |
| 1366039778 | Hope Clinical Trials Inc | 9100 Sw 24th St Ste 8, Miami, FL 33165-2067 | 2020-12-31 | |
| 1659968204 | Dsp Outpatient Corp | 2550 Nw 72nd Ave Ste 305, Miami, FL 33122-1348 | 2020-12-29 | |
| 1245826569 | Randolph Borrero Md Pa | 1190 Nw 95th St Ste 205, Miami, FL 33150-2064 | 2020-12-21 | |
| 1831785484 | Polyclinic Health Center Inc · Polyclinic Health Center Inc | 2455 Sw 27th Ave Ste 100, Miami, FL 33145-3663 | 2020-12-17 | |
| 1275129959 | Majo Health Service Corp | 8420 W Flagler St Ste 217, Miami, FL 33144-2064 | 2020-12-16 | |
| 1609471788 | Dainerys C Lopez | 225 Ne 23rd St Apt 304, Miami, FL 33137-4033 | 2020-12-04 | |
| 1790380236 | Bustillo Doctor Office Inc | 7295i Sw 24th St, Miami, FL 33155-1401 | 2020-12-02 | |
| 1053912550 | Wound Integrity Florida Pa | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 | |
| Find all providers in MIAMI | ||||
| City | MIAMI |
| Zip Code | 33165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922075456 | Bart Jeffrey Meyers | Family Medicine | Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-03-03 |
| 1346681764 | Catherine E Meyers | Massage Therapist | 222 Eastern Ave, Gloucester, MA 01930-1810 | 2013-07-14 |
| 1598093262 | Eastern Medical Center Professional Medical Corporation · Eastern Medical Center | Internal Medicine | 2930 Eastern Ave, Sacramento, CA 95821-4210 | 2009-11-18 |
| 1710062187 | Howard David Harrison | Orthopaedic Surgery | 3033 Winkler Avenue Ext, Va Outpatient Clinic-Fort Meyers, Fort Myers, FL 33916-9413 | 2006-10-26 |
| 1215020508 | Eastern Medical Center · Eastern Medical Center, Professional Co. | Family Medicine | 2930 Eastern Ave, Sacramento, CA 95821-4210 | 2006-10-01 |
| 1427575273 | Cora Health Services Inc · Cora Physical Therapy - South Fort Meyers | Clinic/Center · Rehabilitation | 19100 S Tamiami Trl Ste 4, Fort Myers, FL 33908-1011 | 2017-08-23 |
| 1255628095 | Internal Medicine Associates of Lee County Pharmacy Group · Ima Pharmacy - Fort Meyers | Pharmacy · Clinic Pharmacy | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2011-06-30 |
| 1437586393 | Comfortable Care Dental Health Professionals PC · Family Dental of Fort Meyers | Dentist | 9011 Daniels Pkwy, Suite 105, Fort Myers, FL 33912-1814 | 2013-10-08 |
| 1770557712 | Eastern Connecticut Medical Professionals Foundation Inc · Eastern Ct Medical Professionals | Orthopaedic Surgery | 71 Haynes St, Miller Bldg, Floor G, Manchester, CT 06040-4131 | 2006-02-15 |
| 1265751309 | Eastern Shoshone Recovery · Eastern Shoshone Tribe | Clinic/Center · Rehabilitation, Substance Use Disorder | #7 Shipton Lane, Fort Washakie, WY 82514-0538 | 2010-05-28 |
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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.