Organization Active NPI

Practitioners of South West Florida LLC

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1063087898
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PRACTITIONERS OF SOUTH WEST FLORIDA LLC
Practice address
2810 NW 13TH St
Cape Coral, FL 33993-4881
Phone
(817) 655-1595
NPI assigned
May 24, 2021
Last updated
Jul 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2022

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

Authorized official

Name
Mrs. Jalima Jimenez Morejon, APRN
Title
Aprn/Family/Pediatric NP
Phone
(817) 655-1595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2810 NW 13TH St
Cape Coral, FL 33993-4881

Mailing address

2810 NW 13TH St
Cape Coral, FL 33993-4881
Phone (817) 655-1595

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658016000000",
    "number": "1063087898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 NW 13TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339934881",
            "telephone_number": "817-655-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 NW 13TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339934881",
            "telephone_number": "817-655-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTITIONERS OF SOUTH WEST FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ MOREJON",
        "authorized_official_first_name": "JALIMA",
        "authorized_official_title_or_position": "APRN/FAMILY/PEDIATRIC NP",
        "authorized_official_telephone_number": "817-655-1595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; 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.