SOUTHWEST FLORIDA FERTILITY CENTER PA – NPI #1588749618
Obstetrics & Gynecology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

SOUTHWEST FLORIDA FERTILITY CENTER PA is a provider located in FORT MYERS, FL. NPPES has assigned the NPI number 1588749618 to SOUTHWEST FLORIDA FERTILITY CENTER PA on October 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VE0102X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Reproductive Endocrinology

The NPI profile was previously updated about 17 years ago on Jan 12, 2009. 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 SOUTHWEST FLORIDA FERTILITY CENTER PA below.

NPI Profile for
SOUTHWEST FLORIDA FERTILITY CENTER PA

NPI Number
1588749618
Enumeration Date

(more than 19 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
SOUTHWEST FLORIDA FERTILITY CENTER PA
Primary location
15730 NEW HAMPSHIRE CT
SUITE 101
FORT MYERS, FL 33908
Phone: (239) 561-3430 Fax: (239) 561-6980
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACOB GLOCK
PRESIDENT
Phone: (239) 561-3430
Updated
Identifiers

Identifiers for SOUTHWEST FLORIDA FERTILITY CENTER PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERFLORIDA STATE LICENSEFLME0057264
MEDICAIDFL379285400
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
207VE0102X
- Obstetrics & Gynecology / Reproductive Endocrinology (Primary)		 FL ME0057264

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.