Organization Active NPI

Robert P Casola DO PA

  • Specialist
  • Fort Myers, FL
National Provider Identifier
1033164884
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ROBERT P CASOLA DO PA
Practice address
13710 Metropolis Ave
#104
Fort Myers, FL 33912-7144
Phone
(239) 561-3090
NPI assigned
May 23, 2006
Last updated
Nov 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Dr. Robert P Casola, DO
Title
President
Phone
(239) 561-3090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

13710 Metropolis Ave
#104
Fort Myers, FL 33912-7144

Mailing address

PO Box 61344
Ft Myers, FL 33906-1344
Phone (239) 274-5004

National Provider Directory

National Provider Directory

Locations

13710 Metropolis Ave
Ste 104
Fort Myers, FL 33912
Phone (239) 332-2388

3945 Fowler St
Fort Myers, FL 33901
Phone (239) 274-5004

1020 Crosspointe Dr
Ste 108
Naples, FL 34110
Phone (239) 337-2003

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1033164884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61344",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339061344",
            "telephone_number": "239-274-5004",
            "fax_number": "239-274-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 METROPOLIS AVE",
            "address_2": "#104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127144",
            "telephone_number": "239-561-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P CASOLA DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "CASOLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-561-3090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Nov 9, 2015; 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.