Paradise Medical Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME16708 Issued in FL

Legal business name

PARADISE MEDICAL CENTER

Practice address

1890 North Tamiami Trail
#D2
North Fort Myers, FL 33903

Phone

(239) 656-0455

Fax

(239) 656-3010

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Ephrhim Gutierrez Aguilar, MD

Title

President

Phone

(239) 656-0455

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639254188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 NORTH TAMIAMI TRAIL",
            "address_2": "#D2",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "33903",
            "telephone_number": "239-656-0455",
            "fax_number": "239-656-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 NORTH TAMIAMI TRAIL",
            "address_2": "#D2",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "33903",
            "telephone_number": "239-656-0455",
            "fax_number": "239-656-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "EPHRHIM",
        "authorized_official_middle_name": "GUTIERREZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-656-0455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME16708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Ortiz-Rivera
• Fransiel Padron Martinez, PA
• Brandon Paige, RBT
• Maria Guadalupe Paniagua
• Taylor Danyelle Panico
• Jane J Park, M.D.
• Kinley Nichole Patterson
• Leslie Winston Payne, OTR/L
• Orfani Paz Nunez, MD
• Amanda Pelliccioni, PHARMD

• Pediatrics Physician in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Pediatrics Physician in Florida

• 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.