Organization Active NPI

Eduardo Correa DDS PA

  • Dental Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1619837770
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EDUARDO CORREA DDS PA
Practice address
13432 Palm Beach Blvd
Fort Myers, FL 33905-2129
Phone
(239) 694-0834
NPI assigned
Nov 12, 2025
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Dr. Eduardo Monteiro Correa, DDSNPI 1972814747
Title
President
Phone
(239) 694-0834

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

13432 Palm Beach Blvd
Fort Myers, FL 33905-2129

Mailing address

13432 Palm Beach Blvd
Fort Myers, FL 33905-2129
Phone (352) 871-6142

National Provider Directory

National Provider Directory

Locations

13432 Palm Beach Blvd
Fort Myers, FL 33905
Phone (239) 694-0834

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1619837770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13432 PALM BEACH BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052129",
            "telephone_number": "352-871-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13432 PALM BEACH BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052129",
            "telephone_number": "239-694-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO CORREA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "MONTEIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-694-0834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Nov 12, 2025; 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.