MEDICAL CENTRE OF FORT MYERS; NPI #1356003081

Contact Information

MEDICAL CENTRE OF FORT MYERS

4901 PALM BEACH BLVD STE 101
FORT MYERS, FL 33905-3252

Phone: 813-252-6114
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Addiction Psychiatry	2084P0802X	86	Physician/Neuropsychiatry
Adult Mental Health	261QM0850X
Clinic/Center	261Q00000X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Methadone	261QM2800X
Primary Care	261QP2300X
Psychologist	103T00000X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for MEDICAL CENTRE OF FORT MYERS

NPI #	`1356003081`
LBN Legal business name	MEDICAL CENTRE OF FORT MYERS
Authorized official	DEMETRIS WEAVER - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/11/2021
Last updated	10/20/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MEDICAL CENTRE OF FORT MYERS

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NPI Profile & details for MEDICAL CENTRE OF FORT MYERS

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