| Fort Myers Family Medicine Llc | |
|
15661 San Carlos Blvd Suite 2 Fort Myers FL 33908 | |
| (239) 433-4014 | |
| (239) 481-6247 |
| Full Name | Fort Myers Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 15661 San Carlos Blvd, Fort Myers, Florida |
| Authorized Official Name and Position | Hursel Lee Adkins (EXECUTIVE MANAGING DIRECTOR) |
| Authorized Official Contact | 2394334014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Myers Family Medicine Llc 15661 San Carlos Blvd Suite 2 Fort Myers FL 33908-2797 Ph: (239) 433-4014 | Fort Myers Family Medicine Llc 15661 San Carlos Blvd Suite 2 Fort Myers FL 33908 Ph: (239) 433-4014 |
| NPI Number | 1255436143 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255436143 | NPI | - | NPPES |
| 268237100 | Medicaid | FL | |
| K1484 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0005720 (Florida) | Primary |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
Lch- Peds Page Field Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lch-internal Medicine Matthew Drive Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |