Jenny Garcia Dopico, NURSE PRACTITIONER
Individual provider Active NPI Family Nurse Practitioner · Labelle, FL
NPI 1699282004 · NPPES record last updated Apr 16, 2025
Key facts
- NPI
- 1699282004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11012223 (FL)
- Practice address
- 1140 Pratt Blvd
Labelle, FL 33935-4405 - Phone
- (863) 674-4041
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210803001309 | FL | Practitioner - Nurse Practitioner | 0244634954 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11012223 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Healthcare Systems, Inc | Current |
Accepting new patients | |
| Florida Department of Health | Current |
Accepting new patients | |
| Florida Department of Health | Current |
Accepting new patients | |
| Florida Department of Health | Current |
Accepting new patients | |
| Gulf Coast Healthcare Systems Inc | Current |
Accepting new patients | |
| Florida Department of Health | Current |
Accepting new patients | |
| Gulf Coast Healthcare Center, Inc. | Past |
Accepting new patients |
Locations
1100 S Olympia St
Clewiston, FL 33440
Phone (561) 996-9573
2295 Victoria Ave
Fl 2
Fort Myers, FL 33901
Phone (239) 332-9568
3920 Michigan Ave
Fort Myers, FL 33916
Phone (239) 332-9501
1140 Pratt Blvd
Labelle, FL 33935
Phone (863) 674-4041
2724 5th St W
Ste C
Lehigh Acres, FL 33971
Phone (239) 303-9296
2724 5th St W
Ste Bc
Lehigh Acres, FL 33971
Phone (239) 303-9298
1021 Health Park Dr
Moore Haven, FL 33471
Phone (863) 946-0405
83 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 461-6100
18255 Homestead Ave
Perrine, FL 33157
Phone (305) 252-4487
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11012223 | FL | Yes |
Addresses
Primary practice location
1140 Pratt Blvd
Labelle, FL 33935-4405
Mailing address
1140 Pratt Blvd
Labelle, FL 33935-4405
Phone (863) 674-4041
Other providers in Labelle, FL
- Delta Health Group Inc
- Claudia Diaz
- Agnes Dodds
- Mercedes Dominguez Valle
- Janet Dominguez-Giron
- Simone Douze-Jeanbaptiste
- Adriana Esther Duarte Constantino
- Richard A. Ellis
- William Manrique Escobar
- Yadisleidy Exposito
All providers in Labelle, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.