| Shell Point | |
|
13880 Shell Point Plaza Suite 110 Fort Myers FL 33908 | |
| (239) 466-1111 | |
| (239) 454-2111 |
| Full Name | Shell Point |
|---|---|
| Speciality | General Practice |
| Location | 13880 Shell Point Plaza, Fort Myers, Florida |
| Authorized Official Name and Position | Tasha Marie Vassar (MEDICAL BILLING MANAGER) |
| Authorized Official Contact | 2394337937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shell Point 13880 Shell Point Plaza Suite 110 Fort Myers FL 33908-3504 Ph: (239) 454-2146 | Shell Point 13880 Shell Point Plaza Suite 110 Fort Myers FL 33908 Ph: (239) 466-1111 |
| NPI Number | 1821160607 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/02/2022 |
| Medicare PECOS PAC ID | 9739072232 |
|---|---|
| Medicare Enrollment ID | O20040207000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821160607 | NPI | - | NPPES |
| Provider Name | Nancy T Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073605747 PECOS PAC ID: 1355234857 Enrollment ID: I20040207000020 |
| Provider Name | Kathy A Fratrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275605909 PECOS PAC ID: 2466519301 Enrollment ID: I20090320000496 |
| Provider Name | Amy Jo Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851604813 PECOS PAC ID: 3072705474 Enrollment ID: I20101004000905 |
| Provider Name | David William Nesselroade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679646251 PECOS PAC ID: 0840482832 Enrollment ID: I20101008000616 |
| Provider Name | Maria F Badami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164458949 PECOS PAC ID: 3577693951 Enrollment ID: I20110603000316 |
| Provider Name | Gary Goforth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902823925 PECOS PAC ID: 9931238490 Enrollment ID: I20120828000088 |
| Provider Name | Carol D Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457423055 PECOS PAC ID: 1850537390 Enrollment ID: I20130912000156 |
| Provider Name | Lewis T Caldrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033534003 PECOS PAC ID: 6002030335 Enrollment ID: I20140606001167 |
| Provider Name | Rocio Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699201194 PECOS PAC ID: 4587933916 Enrollment ID: I20170628001941 |
| Provider Name | Miguel Angel Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962928994 PECOS PAC ID: 3274808084 Enrollment ID: I20171004002285 |
| Provider Name | Kathy J Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366837049 PECOS PAC ID: 9739495961 Enrollment ID: I20190716000561 |
| Provider Name | Shane Thomas Geffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568091197 PECOS PAC ID: 2668870379 Enrollment ID: I20211011002690 |
| Provider Name | Luke Wren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922637537 PECOS PAC ID: 3779971643 Enrollment ID: I20211026001221 |
| Provider Name | Robert William Fung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912392812 PECOS PAC ID: 0143536409 Enrollment ID: I20230309000852 |
| Provider Name | Holly Orlasky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407300288 PECOS PAC ID: 1052777208 Enrollment ID: I20230515001439 |
| Provider Name | Nicole Y Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497334171 PECOS PAC ID: 9133577489 Enrollment ID: I20231127001808 |
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