Active NPI
Reynaldo Pezzotti Smith, M.D
- Family Medicine Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1037
- Practice address
- 3822 Broadway
Fort Myers, FL 33901-8148 - Phone
- (239) 900-9170
- NPI assigned
- Jun 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 17615 | PR | |
| Family Medicine Physician | 207Q00000X | 1037 | FL | Primary |
Addresses
Primary practice location
3822 Broadway
Fort Myers, FL 33901-8148
Mailing address
3024 Seafarer Dr
Punta Gorda, FL 33983-3457
Phone (407) 820-7079
Other practice location 1
Ciudad Jardin 1, #117 Anthurium st.
Toa Alta,P.R.
Toa Alta, PR 00953-4844
Phone (787) 646-5905
Other practice location 2
156 Via De La Ermita
Caguas, PR 00727-3101
Phone (407) 820-7079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1502 Lake Trafford Rd
Immokalee, FL 34142-2618
Phone (239) 722-6774
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1037 | FL | MD | Family Medicine Physician |
| 17615 | PR | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sante Plus Medical Center | Family Medicine | Current | Accepting new patients |
| Solution Medical Group | Current | Accepting new patients | |
| Sante Plus Medical Center | Past | Accepting new patients |
Locations
3900 Broadway
Ste C
Fort Myers, FL 33901
Phone (239) 936-4494
3822 Broadway
Ste A
Fort Myers, FL 33901
Phone (239) 274-3004
1900 Nebraska Ave
Ste 1
Fort Pierce, FL 34950
Phone (772) 464-3200
1502 Lake Trafford Rd
Immokalee, FL 34142
Phone (239) 657-6363
3400 Lee Blvd
Ste 102
Lehigh Acres, FL 33971
Phone (239) 893-4141
8360 Sierra Meadows Blvd
Naples, FL 34113
Phone (239) 403-6375
3155 Lake Worth Rd
Palm Springs, FL 33461
Phone (561) 439-8440
10616 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 224-2467
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1639759475
-
- Emergency Care Clinic/Center
- San Juan, PR
- NPI 1700126109
-
- Clinic/Center
- Immokalee, FL
- NPI 1407514904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1508093154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 SEAFARER DR",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339833457",
"telephone_number": "407-820-7079",
"fax_number": "787-961-9447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3822 BROADWAY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339018148",
"telephone_number": "239-900-9170"
}
],
"practiceLocations": [
{
"address_1": "Ciudad Jardin 1, #117 Anthurium st.",
"address_2": "Toa Alta,P.R.",
"address_purpose": "LOCATION",
"city": "Toa Alta",
"state": "PR",
"postal_code": "009534844",
"country_code": "US",
"telephone_number": "787-646-5905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "156 Via De La Ermita",
"address_purpose": "LOCATION",
"city": "Caguas",
"state": "PR",
"postal_code": "007273101",
"country_code": "US",
"telephone_number": "407-820-7079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEZZOTTI SMITH",
"first_name": "REYNALDO",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "PR",
"license": "17615",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "1037",
"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 Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.