Active NPI
Novare Medical and Wellness Inc
Doing business as Novare
- General Practice Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- NOVARE MEDICAL AND WELLNESS INC
- Doing business as
- Novare
- Practice address
- 15880 Summerlin Rd Ste 114
Fort Myers, FL 33908-9614 - Phone
- (312) 391-4888
- NPI assigned
- Jun 26, 2025
- Last updated
- Sep 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Bracic
- Title
- Owner
- Phone
- (312) 391-4888
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | ||
| General Practice Physician | 208D00000X | NU | Primary | |
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
15880 Summerlin Rd Ste 114
Fort Myers, FL 33908-9614
Mailing address
15947 Tropical Breeze Dr
Fort Myers, FL 33908-1744
Other names 1
- NOVARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15880 Summerlin Rd
Ste 114
Fort Myers, FL 33908
Phone (312) 391-4888
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1326936329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15947 TROPICAL BREEZE DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339081744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15880 SUMMERLIN RD STE 114",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339089614",
"telephone_number": "312-391-4888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVARE MEDICAL AND WELLNESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-26",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "BRACIC",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-391-4888"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NOVARE",
"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 Sep 2, 2026; 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.