NPIMap

Organization Active NPI

Dna Comprehensive Therapy Services, LLC

Doing business as Elite DNA Therapy Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
National Provider Identifier
1316363757
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DNA COMPREHENSIVE THERAPY SERVICES, LLC
Doing business as
Elite DNA Therapy Services
Practice address
4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone
(239) 223-2751
Fax
(239) 561-2933
NPI assigned
Mar 10, 2014
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Elizabeth Dosoretz, LCSWNPI 1659565646
Title
Ceo
Phone
(239) 223-2751

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Multi-Specialty Clinic/Center 261QM1300X
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X
Clinical Social Worker 1041C0700X
Addiction Medicine (Family Medicine) Physician 207QA0401X
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X
Clinical Neurophysiology Physician 2084N0600X
Psychiatry Physician 2084P0800X
Child & Adolescent Psychiatry Physician 2084P0804X
Occupational Therapist 225X00000X
Pediatric Occupational Therapist 225XP0200X
Speech-Language Pathologist 235Z00000X
Behavior Analyst 103K00000X

Addresses

Primary practice location

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416

Mailing address

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (239) 223-2751

Other practice location 1

6430 Plantation Park Ct Ste 200
Fort Myers, FL 33966-4816
Phone (239) 223-2751

Other practice location 2

2721 Del Prado Blvd S Ste 200
Cape Coral, FL 33904-5783
Phone (239) 673-9034

Other practice location 3

421 Commercial Ct Ste B
Venice, FL 34292-1656
Phone (941) 244-4377

Other practice location 4

2830 Winkler Ave Ste 207
Fort Myers, FL 33916-9301
Phone (239) 223-2751

Other practice location 5

876 W Sugarland Hwy Unit 1C
Clewiston, FL 33440-2704
Phone (239) 223-2751

Other practice location 6

228 Plaza Dr
Lehigh Acres, FL 33936-6054
Phone (239) 491-8024

Other practice location 7

3191 Harbor Blvd Ste A
Port Charlotte, FL 33952-6755
Phone (941) 883-4518

Other practice location 8

2625 Executive Park Dr Ste 5
Weston, FL 33331-3634
Phone (239) 223-2751

Other practice location 9

3636 University Blvd S Ste B2
Jacksonville, FL 32216-4223
Phone (239) 223-2751

Other practice location 10

910 Oakfield Dr Ste 201A
Brandon, FL 33511-4925
Phone (813) 655-6367

Other practice location 11

12989 Southern Blvd Ste 102
Loxahatchee, FL 33470-9205
Phone (561) 513-6716

Other practice location 12

450 S Main St
LaBelle, FL 33935-4629
Phone (239) 223-2751

Other practice location 13

2230 Venetian Ct Ste 1
Naples, FL 34109-8727
Phone (239) 236-5448

Other identifiers 8

IdentifierTypeStateIssuer
010785504MedicaidFL
010785509MedicaidFL
022832900MedicaidFL
010785508MedicaidFL
010785500MedicaidFL
010784000MedicaidFL
010785506MedicaidFL
017439500MedicaidFL

Other names 1

  • Elite DNA Therapy Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140819001276 FL Part B Supplier - Clinic/Group Practice 2860619632 Receives reassigned benefits from 588 practitioners
6 other NPIs on this enrollment

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5325 E State Road 64
Ste B
Bradenton, FL 34208
Phone (813) 970-3402

910 Oakfield Dr
Ste 201A
Brandon, FL 33511
Phone (813) 655-6367

9401 Corkscrew Palms Cir
Ste 300
Estero, FL 33928
Phone (239) 676-0601

2830 Winkler Ave
Ste 207
Fort Myers, FL 33916
Phone (239) 215-4600

1131 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 363-2025

2055 Reyko Rd
Ste 100
Jacksonville, FL 32207
Phone (904) 648-8200

4425 Military Trl
Ste 203
Jupiter, FL 33458
Phone (561) 747-2775

450 S Main St
Labelle, FL 33935
Phone (239) 482-5399

225 E Lemon St
Ste 105
Lakeland, FL 33801
Phone (863) 732-7200

100 E Sybelia Ave
Ste 150
Maitland, FL 32751
Phone (407) 765-5437

1542 Kingsley Ave
Ste 136137
Orange Park, FL 32073
Phone (904) 458-7780

3157 N Alafaya Trl
Ste 150
Orlando, FL 32826

285 Clyde Morris Blvd
#300B
Ormond Beach, FL 32174

285 Clyde Morris Blvd
Ste 300
Ormond Beach, FL 32174
Phone (386) 262-1627

1201 US Highway 1
Ste 250
Palm Beach Gardens, FL 33408
Phone (561) 747-2775

1777 Tamiami Trl
Ste 201
Port Charlotte, FL 33948
Phone (941) 249-4354

2252 Killearn Center Blvd
Ste 300
Tallahassee, FL 32309
Phone (850) 671-4600

421 Commercial Ct
Ste B
Venice, FL 34292
Phone (941) 244-4377

2625 Executive Park Dr
Ste 5
Weston, FL 33331
Phone (941) 694-0211

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 605

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.

View all 605

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1316363757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 METRO PKWY STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169416",
            "telephone_number": "239-223-2751",
            "fax_number": "239-561-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 METRO PKWY STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169416",
            "telephone_number": "239-223-2751",
            "fax_number": "239-561-2933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6430 Plantation Park Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339664816",
            "country_code": "US",
            "telephone_number": "239-223-2751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2721 Del Prado Blvd S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339045783",
            "country_code": "US",
            "telephone_number": "239-673-9034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Commercial Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342921656",
            "country_code": "US",
            "telephone_number": "941-244-4377",
            "fax_number": "941-244-4376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2830 Winkler Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339169301",
            "country_code": "US",
            "telephone_number": "239-223-2751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "876 W Sugarland Hwy Unit 1C",
            "address_purpose": "LOCATION",
            "city": "Clewiston",
            "state": "FL",
            "postal_code": "334402704",
            "country_code": "US",
            "telephone_number": "239-223-2751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Lehigh Acres",
            "state": "FL",
            "postal_code": "339366054",
            "country_code": "US",
            "telephone_number": "239-491-8024",
            "fax_number": "239-491-6217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3191 Harbor Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339526755",
            "country_code": "US",
            "telephone_number": "941-883-4518",
            "fax_number": "941-391-5975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2625 Executive Park Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313634",
            "country_code": "US",
            "telephone_number": "239-223-2751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3636 University Blvd S Ste B2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164223",
            "country_code": "US",
            "telephone_number": "239-223-2751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Oakfield Dr Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114925",
            "country_code": "US",
            "telephone_number": "813-655-6367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12989 Southern Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334709205",
            "country_code": "US",
            "telephone_number": "561-513-6716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Main St",
            "address_purpose": "LOCATION",
            "city": "LaBelle",
            "state": "FL",
            "postal_code": "339354629",
            "country_code": "US",
            "telephone_number": "239-223-2751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2230 Venetian Ct Ste 1",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341098727",
            "country_code": "US",
            "telephone_number": "239-236-5448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DNA COMPREHENSIVE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "DOSORETZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-223-2751",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010785504",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010785509",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022832900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010785508",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010785500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010784000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010785506",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017439500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite DNA Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.