MOURACADE REGENERATIVE MEDICINE (NPI# 1447619887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447619887 |
| Entity Type | Organization |
| Organization Name | MOURACADE REGENERATIVE MEDICINE |
| Practice Address |
8695 College Pkwy Fort Myers FL 33919-4809 |
| Mailing Address |
14661 Double Eagle Ct Fort Myers FL 33912-1716 |
| Practice Telephone | 2392220700 |
| Practice Fax Number | 2399391070 |
| Mailing Telephone | 2392220700 |
| Mailing Fax Number | 2399391070 |
| Enumeration Date | 2016-02-13 |
| Last Update Date | 2016-02-13 |
| Authorized Official Name | DR. MARY MARGARET MAGNO MOURACADE (PRINCIPAL) |
| Authorized Official Telephone | 2392220700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME64887 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
8695 COLLEGE PKWY |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023200375 | Bottoms Up Medical Systems Inc. | Durable Medical Equipment & Medical Supplies | 8695 College Pkwy, Suite 298, Fort Myers, FL 33919-4890 | 2007-08-10 |
| 1952770299 | Anjanet Kiesel | Counselor | 8695 College Pkwy, Suite 2250, Fort Myers, FL 33919-4809 | 2015-09-16 |
| 1750763777 | Sunshine Cardiovascular Services | Internal Medicine | 8695 College Pkwy, Fort Myers, FL 33919-4809 | 2015-06-25 |
| 1023337953 | Tina Friedman | Counselor | 8695 College Pkwy, 2258, Fort Myers, FL 33919-4890 | 2010-05-17 |
| 1609003573 | A & G Spinal Solutions LLC | Durable Medical Equipment & Medical Supplies | 8695 College Pkwy, Suite 1197, Fort Myers, FL 33919-4890 | 2009-06-17 |
| 1316112956 | Re' Mason | Psychologist | 8695 College Pkwy, Suit 252, Fort Myers, FL 33919-4890 | 2008-04-24 |
| 1467627091 | Candace Anne Morin | Counselor | 8695 College Pkwy, Suite 252, Fort Myers, FL 33919-4890 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423862 | Lee Senior Services, LLC | Internal Medicine | 4100 Center Pointe Dr Ste 111&112, Fort Myers, FL 33916-9460 | 2020-10-06 |
| 1396366985 | Tritel Concierge Medicine LLC | Internal Medicine | 6846 International Center Blvd Ste A, Fort Myers, FL 33912-7155 | 2020-05-05 |
| 1861031015 | Priority Health Medical Center | Internal Medicine | 3660 Central Ave Ste 6, Fort Myers, FL 33901-7647 | 2020-01-04 |
| 1609334796 | Rifmetic | Internal Medicine | 3910 Williamson Rd, Fort Myers, FL 33905-6208 | 2019-03-07 |
| 1215309331 | Axel1 Health LLC | Internal Medicine | 4820 Griffin Blvd, Fort Myers, FL 33908-2016 | 2015-10-28 |
| 1518337492 | Barry K Butler P.a. | Internal Medicine | 10708 Bradbury Way, Fort Myers, FL 33913 | 2015-10-05 |
| 1639548225 | Colonia Medical Specialty Group | Internal Medicine | 4531 Deleon St Ste 207, Fort Myers, FL 33907-1280 | 2015-09-24 |
| 1659756476 | Sean Hess | Internal Medicine | 9671 Gladiolus Dr Ste 104, Fort Myers, FL 33908-7684 | 2015-07-22 |
| 1114326774 | Quiles Cruz Medical Services Pa | Internal Medicine | 8112 Felisa Ct, Fort Myers, FL 33912-8951 | 2014-08-20 |
| 1144589854 | Seth William Jelinek | Internal Medicine | 13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 | 2012-05-15 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
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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.