Organization Active NPI

North Cleveland Healthcare Center

  • General Practice Physician
  • North Fort Myers, FL
National Provider Identifier
1043664469
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NORTH CLEVELAND HEALTHCARE CENTER
Practice address
13240 N Cleveland Ave
Unit # 9
North Fort Myers, FL 33903-4855
Phone
(239) 652-3783
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Lazaro Alfonso
Title
Office Manager
Phone
(239) 849-6839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

13240 N Cleveland Ave
Unit # 9
North Fort Myers, FL 33903-4855

Mailing address

13240 N Cleveland Ave
Unit # 9
North Fort Myers, FL 33903-4855
Phone (239) 652-3783

National Provider Directory

National Provider Directory

Locations

13240 N Cleveland Ave
Ste 9
North Fort Myers, FL 33903
Phone (239) 652-3783

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1043664469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13240 N CLEVELAND AVE",
            "address_2": "UNIT # 9",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034855",
            "telephone_number": "239-652-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13240 N CLEVELAND AVE",
            "address_2": "UNIT # 9",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034855",
            "telephone_number": "239-652-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CLEVELAND HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-849-6839"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.