| Florida Gulf Coast Univeristy | |
|
10501 Fgcu Blvd S Fort Myers FL 33965-6502 | |
| (239) 742-4299 | |
| (239) 590-7398 |
| Full Name | Florida Gulf Coast Univeristy |
|---|---|
| Speciality | Family Medicine |
| Location | 10501 Fgcu Blvd S, Fort Myers, Florida |
| Authorized Official Name and Position | Paula Necole Neal (ASST. AD FOR HEALTH PERFORMANCE) |
| Authorized Official Contact | 2397454299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Gulf Coast Univeristy 10501 Fgcu Blvd S Fort Myers FL 33965-6502 Ph: (239) 742-4299 | Florida Gulf Coast Univeristy 10501 Fgcu Blvd S Fort Myers FL 33965-6502 Ph: (239) 742-4299 |
| NPI Number | 1275141558 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275141558 | NPI | - | NPPES |
| ME80216 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
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 |