Organization Active NPI

Cleveland Rehabilitation Center, LLC

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1669945119
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLEVELAND REHABILITATION CENTER, LLC
Doing business as
Cleveland Medical Center, LLC
Practice address
35 Barkley Cir Ste 1&2
Fort Myers, FL 33907-7601
Phone
(239) 314-3555
Fax
(239) 314-3556
NPI assigned
Jan 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Mercedes Pereira
Title
Partner Owner
Phone
(239) 314-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

35 Barkley Cir Ste 1&2
Fort Myers, FL 33907-7601

Mailing address

35 Barkley Cir Ste 1&2
Fort Myers, FL 33907-7601
Phone (239) 314-3555

Other names 1

  • Cleveland Medical Center, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

35 Barkley Cir
Ste 12
Fort Myers, FL 33907
Phone (239) 314-3555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1669945119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BARKLEY CIR STE 1&2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077601",
            "telephone_number": "239-314-3555",
            "fax_number": "239-314-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BARKLEY CIR STE 1&2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077601",
            "telephone_number": "239-314-3555",
            "fax_number": "239-314-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "239-314-3555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Medical Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2019; 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.