Mederi of Collier County, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

21996096 Issued in FL

Legal business name

MEDERI OF COLLIER COUNTY, INC.

Practice address

2509 Rio de Janeiro Ave
Suite 1
Punta Gorda, FL 33983-8667

Phone

(941) 764-7555

Fax

(941) 764-9533

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. C. Steven Guenthner

Title

Sr VP, Cfo

Phone

(502) 891-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mederi of Port Charlotte Doing business as

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285620146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-891-1000",
            "fax_number": "502-891-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 RIO DE JANEIRO AVE",
            "address_2": "SUITE 1",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339838667",
            "telephone_number": "941-764-7555",
            "fax_number": "941-764-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDERI OF COLLIER COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUENTHNER",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "SR VP, CFO",
        "authorized_official_telephone_number": "502-891-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21996096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "J9I",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mederi of Port Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patti Lynn McCluskey, RPH
• Debra McCracken, O.D.
• McDonnell Dermatology LLC
• Megan Rose McGill, PA-C
• Allison Kathryn McGrath
• Medical Risk Solutions
• Avis Marie Medina, DMD
• Melissa K Meister, RDN, LDN
• Joshua Mejias
• Amgad Malak Mekhail, RPH

• Home Health Agency in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.