Boston Medical Care LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

BOSTON MEDICAL CARE LLC

Practice address

3903 Dr Martin Luther King Blvd
Fort Myers, FL 33916-4805

Phone

(239) 851-7500

NPI assigned

Feb 1, 2023

Last updated

Aug 9, 2024By 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

Ms. Elise G Lewis, REGISTEREDNPI 1679209142

Title

Operations Manager

Phone

(239) 206-1200

Specialties & licenses 6

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elise G Lewis, REGISTERED NURSE

  • Registered Nurse
  • Fort Myers, FL
  • NPI 1679209142
  Authorized official Same address or phone

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1245936293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 DR MARTIN LUTHER KING BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164805",
            "telephone_number": "239-851-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 DR MARTIN LUTHER KING BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164805",
            "telephone_number": "239-851-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "239-206-1200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayli Matilde Borroto Ayala, APRN
• Daniel Jacob Bosco, PT
• Daniela Renae Bosquez, PA
• Cora Lynn Bostick
• Sydney Claire Bostock
• Conor Robert Boston
• Margaret Theresa Boswell, PA
• Diozzel Botelho
• Nestor Botta Gonzalez
• Bottoms Up Medical Systems Inc.

• Point of Service in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.