Organization Active NPI

L Dawson Gladding PA

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1275716599
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS3902 Issued in FL
Legal business name
L DAWSON GLADDING PA
Practice address
1491 Beechwood TRL
Fort Myers, FL 33919-3430
Phone
(239) 482-6254
Fax
(239) 432-0548
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Dr. Lloyd Dawson Gladding, D.O.
Title
Pres
Phone
(239) 425-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS3902 FL Primary

Addresses

Primary practice location

1491 Beechwood TRL
Fort Myers, FL 33919-3430

Mailing address

1491 Beechwood TRL
Fort Myers, FL 33919-3430
Phone (239) 482-6254

National Provider Directory

National Provider Directory

Locations

3095 Kennesaw St
Fort Myers, FL 33916
Phone (239) 425-6464

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1275716599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 BEECHWOOD TRL",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193430",
            "telephone_number": "239-482-6254",
            "fax_number": "239-432-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 BEECHWOOD TRL",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193430",
            "telephone_number": "239-482-6254",
            "fax_number": "239-432-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L DAWSON GLADDING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "GLADDING",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "DAWSON",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "239-425-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS3902",
            "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 Dec 10, 2007; 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.