Organization Active NPI

Luxvil Medical Center Inc

  • Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1386282317
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LUXVIL MEDICAL CENTER INC
Practice address
3800 Colonial Blvd Ste 101
Fort Myers, FL 33966-1075
Phone
(239) 297-9066
NPI assigned
Dec 20, 2019
Last updated
Dec 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Authorized official

Name
Mrs. Yanny MursuliNPI 1689217853
Title
Ceo
Phone
(239) 297-9066

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

3800 Colonial Blvd Ste 101
Fort Myers, FL 33966-1075

Mailing address

3800 Colonial Blvd Ste 101
Fort Myers, FL 33966-1075

National Provider Directory

National Provider Directory

Locations

3800 Colonial Blvd
Ste 101
Fort Myers, FL 33966
Phone (239) 204-9695

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1386282317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 COLONIAL BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 COLONIAL BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661075",
            "telephone_number": "239-297-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXVIL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "MURSULI",
        "authorized_official_first_name": "YANNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-297-9066",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 26, 2019; 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.