NPIMap

Organization Active NPI

Florida Gulf Coastuniversity Wellness Center

  • Student Health Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1487723581
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
ME25968 Issued in FL
Legal business name
FLORIDA GULF COASTUNIVERSITY WELLNESS CENTER
Practice address
Florida Gulf Coast University
10501 Fgcu Boulevard S.
Fort Myers, FL 33965-6565
Phone
(239) 590-7868
Fax
(239) 590-7968
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Eileen Dondoro, A.R.N.P.
Title
Director Student Health Services
Phone
(239) 590-7868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X ME25968 FL Primary

Addresses

Primary practice location

Florida Gulf Coast University
10501 Fgcu Boulevard S.
Fort Myers, FL 33965-6565

Mailing address

9209 Garden Pointe
Fort Myers, FL 33908-3667
Phone (239) 432-9445

National Provider Directory

National Provider Directory
Tax ID family
Florida Gulf Coast University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10501 Fgcu Blvd S
Fl Gulf
Fort Myers, FL 33965
Phone (239) 590-7006

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 3

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487723581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 GARDEN POINTE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083667",
            "telephone_number": "239-432-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLORIDA GULF COAST UNIVERSITY",
            "address_2": "10501 FGCU BOULEVARD S.",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339656565",
            "telephone_number": "239-590-7868",
            "fax_number": "239-590-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA GULF COASTUNIVERSITY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONDORO",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "DIRECTOR STUDENT HEALTH SERVICES",
        "authorized_official_telephone_number": "239-590-7868",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "A.R.N.P."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "FL",
            "license": "ME25968",
            "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 Aug 22, 2020; 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.