Organization Active NPI

Estero Island Medical Center Inc

  • General Practice Physician
  • Fort Myers Beach, FL
National Provider Identifier
1083887996
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME58723 Issued in FL
Legal business name
ESTERO ISLAND MEDICAL CENTER INC
Practice address
6875 Estero Blvd
Fort Myers Beach, FL 33931-4608
Phone
(239) 463-5741
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Dr. Robert Difronzo, MD
Title
President
Phone
(239) 463-5741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME57429 FL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME58723 FL Primary

Addresses

Primary practice location

6875 Estero Blvd
Fort Myers Beach, FL 33931-4608

Mailing address

6875 Estero Blvd
Fort Myers Beach, FL 33931-4608
Phone (239) 463-5741

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1083887996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6875 ESTERO BLVD",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314608",
            "telephone_number": "239-463-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6875 ESTERO BLVD",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314608",
            "telephone_number": "239-463-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTERO ISLAND MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "DIFRONZO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-463-5741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME57429",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME58723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.