Organization Active NPI

G & C Medical Center Inc

  • Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1023394095
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MA61848 Issued in FL
Legal business name
G & C MEDICAL CENTER INC
Practice address
4048 Evans Ave
Suite 208
Fort Myers, FL 33901-9322
Phone
(786) 991-4400
NPI assigned
Oct 22, 2011
Last updated
Oct 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Yenma Concepcion, MASSAGE THERAPIST
Title
President
Phone
(239) 244-4851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MA61848 FL Primary

Addresses

Primary practice location

4048 Evans Ave
Suite 208
Fort Myers, FL 33901-9322

Mailing address

4048 Evans Ave
Suite 208
Fort Myers, FL 33901-9322
Phone (786) 991-4400

National Provider Directory

National Provider Directory

Locations

4048 Evans Ave
Ste 208
Fort Myers, FL 33901
Phone (239) 362-3111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319241600000",
    "number": "1023394095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 EVANS AVE",
            "address_2": "SUITE 208",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019322",
            "telephone_number": "786-991-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 EVANS AVE",
            "address_2": "SUITE 208",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019322",
            "telephone_number": "786-991-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & C MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-22",
        "last_updated": "2011-10-22",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "YENMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-244-4851",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MA61848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.