New Beginnings at Ft Myers LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

NEW BEGINNINGS AT FT MYERS LLC

Practice address

6202 Presidential CT
Suite E
Fort Myers, FL 33919-3563

Phone

(813) 766-2376

NPI assigned

Dec 15, 2016

Last updated

Dec 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria A Fundora

Title

President

Phone

(813) 766-2376

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1235673849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 PRESIDENTIAL CT",
            "address_2": "SUITE E",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193563",
            "telephone_number": "813-766-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 PRESIDENTIAL CT",
            "address_2": "SUITE E",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193563",
            "telephone_number": "813-766-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS AT FT MYERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "FUNDORA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-766-2376"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.