Organization Active NPI

Myers Professional Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Fort Myers, FL
National Provider Identifier
1568041010
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MYERS PROFESSIONAL SERVICES INC
Practice address
11595 Kelly Rd Ste 210
Fort Myers, FL 33908-2572
Phone
(239) 313-7371
NPI assigned
Apr 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Mrs. Jose A Fonseca Gutierrez
Title
President
Phone
(786) 307-8805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11595 Kelly Rd Ste 210
Fort Myers, FL 33908-2572

Mailing address

11595 Kelly Rd Ste 210
Fort Myers, FL 33908-2572
Phone (239) 313-7371

National Provider Directory

National Provider Directory

Locations

11595 Kelly Rd
Ste 210
Fort Myers, FL 33908
Phone (239) 313-7371

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1568041010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11595 KELLY RD STE 210",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082572",
            "telephone_number": "239-313-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11595 KELLY RD STE 210",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082572",
            "telephone_number": "239-313-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERS PROFESSIONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "FONSECA GUTIERREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-307-8805",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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 Oct 15, 2021; 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.