Organization Active NPI

Oceanside Primary Care and Wellness LLC

  • Primary Care Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1265354559
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OCEANSIDE PRIMARY CARE AND WELLNESS LLC
Practice address
17595 S Tamiami TRL Ste 211
Fort Myers, FL 33908-4889
Phone
(941) 254-1094
Fax
(239) 790-0936
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Mr. Casey Ray Langford, APRNNPI 1093495459
Title
Owner/Operator
Phone
(941) 254-1094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

17595 S Tamiami TRL Ste 211
Fort Myers, FL 33908-4889

Mailing address

17595 S Tamiami TRL Ste 211
Fort Myers, FL 33908-4889
Phone (941) 254-1094

National Provider Directory

National Provider Directory

Locations

17595 S Tamiami Trl
Ste 211
Fort Myers, FL 33908

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1265354559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17595 S TAMIAMI TRL STE 211",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084889",
            "telephone_number": "941-254-1094",
            "fax_number": "239-790-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17595 S TAMIAMI TRL STE 211",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084889",
            "telephone_number": "941-254-1094",
            "fax_number": "239-790-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE PRIMARY CARE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "941-254-1094",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.