CALOOSA MEDICAL CENTER, LLC (NPI# 1295373660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295373660 |
| Entity Type | Organization |
| Organization Name | CALOOSA MEDICAL CENTER, LLC |
| Practice Address |
14651 Palm Beach Blvd Ste 100 Fort Myers FL 33905-2331 |
| Mailing Address |
5180 Jackson Rd Fort Myers FL 33905-7518 |
| Practice Telephone | 2398496620 |
| Mailing Telephone | 2398496620 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | DR. CLARENNCE A SCOTT (MANAGING PARTNER) |
| Authorized Official Telephone | 2398496620 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
14651 PALM BEACH BLVD STE 100 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| 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 |
|---|---|---|---|---|
| 1902404809 | Rhc Ft Myers LLC | Family Medicine | 7051 Cypress Ter Ste 106, Fort Myers, FL 33907-8801 | 2020-10-13 |
| 1669945119 | Cleveland Rehabilitation Center, LLC | Family Medicine | 35 Barkley Cir Ste 1&2, Fort Myers, FL 33907-7601 | 2019-01-08 |
| 1003388083 | Annie Taylor Millis | Family Medicine | 15420 Cemetery Rd, Fort Myers, FL 33905-7532 | 2019-01-01 |
| 1194189852 | Hailon Wong | Family Medicine | 2780 Cleveland Ave Ste 8709, Fort Myers, FL 33901-5858 | 2016-04-08 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1801154794 | Ashley M Warmoth | Family Medicine | 12545 New Brittany Blvd Ste 26, Fort Myers, FL 33907-3625 | 2012-04-27 |
| 1699055376 | Health Bridges Medical Center | Family Medicine | 4380 Cleveland Ave, C3, Fort Myers, FL 33901 | 2011-08-25 |
| 1548587025 | Carl Russell Gillette | Family Medicine | 15448 Fiddlesticks Blvd, Fort Myers, FL 33912-4022 | 2010-04-23 |
| 1982920625 | Locums Doc Inc | Family Medicine | 8772 Tropical Ct, Fort Myers, FL 33908-9240 | 2010-04-19 |
| 1487985610 | Royal Palm Medical Group Inc | Family Medicine | 2665 Cleveland Ave Ste 102, Fort Myers, FL 33901-5884 | 2010-01-28 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
Please comment or provide details below to improve the information on CALOOSA MEDICAL CENTER, LLC.
| 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.