Individual provider Active NPI

Javier Enid Sosa, M.D.

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1194816041
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME59779 Issued in FL
Practice address
15661 San Carlos Blvd Unit 2
Fort Myers, FL 33908-2797
Phone
(239) 433-4014
Fax
(239) 481-6247
NPI assigned
Sep 27, 2006
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME59779 FL Primary

Addresses

Primary practice location

15661 San Carlos Blvd Unit 2
Fort Myers, FL 33908-2797

Mailing address

2675 Winkler Ave Ste 200
Fort Myers, FL 33901-9328
Phone (877) 856-3774

Other practice location 1

9400 Gladiolus Dr Ste 50
Fort Myers, FL 33908-9615
Phone (239) 437-7070

Other identifiers 1

IdentifierTypeStateIssuer
12924OtherFLFL BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121227000226 FL Practitioner - Family Practice 1557529088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

11181 Health Park Blvd
Naples, FL 34110-5743

126 Del Prado Blvd N
Cape Coral, FL 33909-2713

12995 S Cleveland Ave
Suite 184
Fort Myers, FL 33907-7703
Phone (239) 939-2201

13691 Metro Pkwy
Fort Myers, FL 33912-4322

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343

1528 Del Prado Blvd S
Cape Coral, FL 33990-3798
Phone (239) 458-3338

15661 San Carlos Blvd
Unit 2
Fort Myers, FL 33908-2797
Phone (239) 433-4014

1735 SW Health Pkwy
Suite 201
Naples, FL 34109-0421
Phone (239) 249-7800

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

2675 Winkler Ave
Fort Myers, FL 33901-9328

2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328

3434 Hancock Bridge Pkwy
Suite 301
North Fort Myers, FL 33903-7099
Phone (877) 856-3774

3571 Del Prado Blvd N
Suite 2
Cape Coral, FL 33909-5287
Phone (239) 656-6300

4881 Palm Beach Blvd
Suite 100
Fort Myers, FL 33905-3217
Phone (239) 693-9191

9400 Gladiolus Dr
Suite 50
Fort Myers, FL 33908-9615
Phone (239) 437-7070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Millennium Physician Group of NC, PLLC CurrentSince Nov 7, 2025 Accepting new patients
The Medical Centre of Lehigh Acres Inc CurrentSince Nov 4, 2014 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Medical Home Alliance LLC PastSince Nov 7, 2025 Accepting new patients

Locations

15661 San Carlos Blvd
Unit 2
Fort Myers, FL 33908
Phone (239) 433-4014

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

2675 Winkler Ave
Ste 200
Fort Myers, FL 33901

9400 Gladiolus Dr
Ste 50
Fort Myers, FL 33908
Phone (239) 437-7070

1303 Homestead Rd N
Ste 102
Lehigh Acres, FL 33936
Phone (239) 303-2700

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2523/brand/1/csg/1/fhir/r4
  • Direct secure messaging: javier.sosa.1@4290.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1194816041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019328",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15661 SAN CARLOS BLVD UNIT 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082797",
            "telephone_number": "239-433-4014",
            "fax_number": "239-481-6247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 Gladiolus Dr Ste 50",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339089615",
            "country_code": "US",
            "telephone_number": "239-437-7070",
            "fax_number": "239-437-9022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOSA",
        "first_name": "JAVIER",
        "middle_name": "ENID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME59779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BC",
            "identifier": "12924",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.