Organization Active NPI

Robert Difronzo

  • Geriatric Medicine (Internal Medicine) Physician
  • Fort Myers Beach, FL
National Provider Identifier
1679749816
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME0057429 Issued in FL
Legal business name
ROBERT DIFRONZO
Practice address
17284 San Carlos Blvd
Suite105
Fort Myers Beach, FL 33931-5328
Phone
(239) 454-9797
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Robert DifronzoNPI 1760498844
Title
M.D./Owner
Phone
(239) 454-9797

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
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X ME0057429 FL Primary

Addresses

Primary practice location

17284 San Carlos Blvd
Suite105
Fort Myers Beach, FL 33931-5328

Mailing address

17284 San Carlos Blvd
Suite105
Fort Myers Beach, FL 33931-5328
Phone (239) 454-9797

Other identifiers 3

IdentifierTypeStateIssuer
11436OtherFLBLUE CROSS & BLUE SHIELD
266712600MedicaidFL
5654013OtherFLAETNA

National Provider Directory

National Provider Directory

Locations

17284 San Carlos Blvd
Ste 105
Ft Myers Bch, FL 33931
Phone (239) 454-9797

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": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1679749816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17284 SAN CARLOS BLVD",
            "address_2": "SUITE105",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339315328",
            "telephone_number": "239-454-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17284 SAN CARLOS BLVD",
            "address_2": "SUITE105",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339315328",
            "telephone_number": "239-454-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT DIFRONZO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "DIFRONZO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "239-454-9797"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0057429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "11436",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266712600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5654013",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.