Organization Active NPI

Personal Family Health Care

  • Family Medicine Physician
  • Lehigh Acres, FL
National Provider Identifier
1689672602
Registry record updated Aug 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME87058 Issued in FL
Legal business name
PERSONAL FAMILY HEALTH CARE
Practice address
391 Lee Blvd
400
Lehigh Acres, FL 33936-4973
Phone
(239) 369-2226
Fax
(239) 369-5820
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2010

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

Authorized official

Name
Dr. Elmer Toro, MDNPI 1912108804
Title
President
Phone
(239) 369-2226

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME87058 FL Primary

Addresses

Primary practice location

391 Lee Blvd
400
Lehigh Acres, FL 33936-4973

Mailing address

391 Lee Blvd
400
Lehigh Acres, FL 33936-4973
Phone (239) 369-2226

Other identifiers 1

IdentifierTypeStateIssuer
266565400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101108000809 FL Part B Supplier - Clinic/Group Practice 4880889583 Receives reassigned benefits from 2 practitioners
Practice locations: Lehigh Acres, FL

National Provider Directory

National Provider Directory

Locations

391 Lee Blvd
Ste 400
Lehigh Acres, FL 33936
Phone (239) 369-2226

Practitioners 3

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": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283040000000",
    "number": "1689672602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 LEE BLVD",
            "address_2": "400",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364973",
            "telephone_number": "239-369-2226",
            "fax_number": "239-369-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 LEE BLVD",
            "address_2": "400",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364973",
            "telephone_number": "239-369-2226",
            "fax_number": "239-369-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL FAMILY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2010-08-29",
        "status": "A",
        "authorized_official_last_name": "TORO",
        "authorized_official_first_name": "ELMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-369-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME87058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266565400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.