Allied Medical of SW Florida Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ALLIED MEDICAL OF SW FLORIDA INC.

Practice address

2503 Del Prado Blvd S Ste 510
Cape Coral, FL 33904-5709

Phone

(239) 319-3933

NPI assigned

Feb 18, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Amy L Gonzalez, APRN

Title

President

Phone

(407) 288-0598

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1235695941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 DEL PRADO BLVD S STE 510",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045709",
            "telephone_number": "239-319-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 DEL PRADO BLVD S STE 510",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045709",
            "telephone_number": "239-319-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4134 SW 23rd Pl",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339145423",
            "country_code": "US",
            "telephone_number": "407-288-0598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIED MEDICAL OF SW FLORIDA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-288-0598",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063470540",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275013120",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All You Need Home Health LLC
• Cheryl Marye Allen, MS, LPCC-S
• Luzmary Allen, D.O
• Krystall Allender, MA68763
• Allied Family Health LLC
• Allied Medical of SW Florida Inc.
• Allied Physical Therapy, P.a.
• Edmond J Allison, DMD
• Debra Jo Allore, PA-C
• Carmelita Buenviaje Almazan

• Multi-Specialty Clinic/Center in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.