Organization Active NPI

McGregor Medical and Wellness,LLC

  • Primary Care Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1487039723
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME110139 Issued in FL
Legal business name
MCGREGOR MEDICAL AND WELLNESS,LLC
Practice address
16731 McGregor Blvd Ste 105
Fort Myers, FL 33908-3876
Phone
(276) 336-0842
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
May Joy David Lim, M.D.NPI 1376746677
Title
Owner
Phone
(276) 336-0842

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME110139 FL Primary

Addresses

Primary practice location

16731 McGregor Blvd Ste 105
Fort Myers, FL 33908-3876

Mailing address

581 Oceanside Blvd
Indialantic, FL 32903-1835
Phone (276) 336-0842

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151021001036 FL Part B Supplier - Clinic/Group Practice 6709195340 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

9371 Cypress Lake Dr
Ste 10
Fort Myers, FL 33919
Phone (239) 437-2121

9371 Cypress Lake Dr
Ste 8
Fort Myers, FL 33919
Phone (239) 437-2121

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1487039723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 OCEANSIDE BLVD",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329031835",
            "telephone_number": "276-336-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16731 MCGREGOR BLVD STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083876",
            "telephone_number": "276-336-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGREGOR MEDICAL AND WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "MAY JOY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-336-0842",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME110139",
            "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 Jul 28, 2015; 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.