Organization

Fort Myers Family Medicine Llc

May also be knows as Fort Myers Family Medicine Pa

Family Medicine Physician in Fort Myers, FL(View on Map)

Legal Business Name

Fort Myers Family Medicine Llc

Also Known As

Fort Myers Family Medicine Pa

NPI Number

1255436143

NPI Type

Organization

Enumeration Date

09/14/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

OS0005720

Contact
Information

Purpose

Mailing
Location

Address

15661 SAN CARLOS BLVD
15661 SAN CARLOS BLVD

City

Fort Myers
Fort Myers

State

FL
FL

Postal Code

33908-2797
33908

Country

US
US

Telephone Number

(239) 433-4014
(239) 433-4014

Authorized Official

Name

Dr. Hursel Adkins

Title or Position

EXECUTIVE MANAGING DIRECTOR

Telephone Number

(239) 433-4014

Identifiers

Identifier

268237100
K1484

Identifier State

FL
FL

Identifier Issuer

Unknown
MEDICARE PTAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/20/2018

Provider Address

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