EASTERN MEDICAL FORT MEYERS – NPI #1013508878
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.

EASTERN MEDICAL FORT MEYERS is a provider located in MIAMI, FL. NPPES has assigned the NPI number 1013508878 to EASTERN MEDICAL FORT MEYERS on February 03, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTERN MEDICAL FORT MEYERS below.

NPI Profile for
EASTERN MEDICAL FORT MEYERS

NPI Number
1013508878
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTERN MEDICAL FORT MEYERS
Primary location
8900 SW 24 ST #202
MIAMI, FL 33165
Phone: (305) 901-9551 Fax: (786) 618-5219
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTIAN DOMINGUEZ
C.E.O
Phone: (305) 901-9551
Updated
Certification Date
Feb 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
208100000X
- Physical Medicine & Rehabilitation

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.