S.W. Florida Prosthetic Clinic, Inc.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

S.W. FLORIDA PROSTHETIC CLINIC, INC.

Practice address

13691 Metro Parkway
Suite 100
Ft. Myers, FL 33912

Phone

(239) 936-0033

Fax

(239) 936-0047

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Gregory T. Anerino

Title

Board Certified Anaplastologist

Phone

(239) 936-0033

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1598850620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 METRO PARKWAY",
            "address_2": "SUITE 100",
            "city": "FT. MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-936-0033",
            "fax_number": "239-936-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PARKWAY",
            "address_2": "SUITE 100",
            "city": "FT. MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-936-0033",
            "fax_number": "239-936-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.W. FLORIDA PROSTHETIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ANERINO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "BOARD CERTIFIED ANAPLASTOLOGIST",
        "authorized_official_telephone_number": "239-936-0033"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE, EAR, NOSE PROSTHETIC",
            "identifier": "M6012",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetics Case Management in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.