Organization Active NPI

Lee County Coalition for a Drug-Free Southwest Florida

  • Voluntary or Charitable Agency
  • Fort Myers, FL
National Provider Identifier
1316385586
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
858012588492C8 Issued in FL
Legal business name
LEE COUNTY COALITION FOR A DRUG-FREE SOUTHWEST FLORIDA
Practice address
3763 Evans Ave
Suite 202
Fort Myers, FL 33901-9302
Phone
(239) 931-9317
NPI assigned
Jun 11, 2013
Last updated
Jun 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Deborah Comella, BFA
Title
Executive Director
Phone
(239) 931-9317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 858012588492C8 FL Primary

Addresses

Primary practice location

3763 Evans Ave
Suite 202
Fort Myers, FL 33901-9302

Mailing address

3763 Evans Ave
Suite 202
Fort Myers, FL 33901-9302
Phone (239) 931-9317

National Provider Directory

National Provider Directory

Locations

3763 Evans Ave
Ste 202
Fort Myers, FL 33901
Phone (239) 931-9317

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1316385586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3763 EVANS AVE",
            "address_2": "SUITE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019302",
            "telephone_number": "239-931-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3763 EVANS AVE",
            "address_2": "SUITE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019302",
            "telephone_number": "239-931-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE COUNTY COALITION FOR A DRUG-FREE SOUTHWEST FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "COMELLA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "239-931-9317",
        "authorized_official_credential": "BFA"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "858012588492C8",
            "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 Jun 11, 2013; 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.