Medical Central, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MEDICAL CENTRAL, LLC

Doing business as

Medical Central Lehigh

Practice address

11390 Palm Beach Blvd Ste 300
Fort Myers, FL 33905-5921

Phone

(239) 666-2652

Fax

(239) 666-2698

NPI assigned

Mar 27, 2025

Last updated

Mar 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ania Ridriguez

Title

Ceo

Phone

(239) 443-5300

Specialties & licenses 1

Addresses

Other names 1

• Medical Central Lehigh Doing business as

Tax ID family

Medical Central LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical Central, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cape Coral, FL
  • NPI 1134628951
  NPD tax ID

Locations

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1699577734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 DEL PRADO BLVD S STE 100",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901724",
            "telephone_number": "239-471-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11390 PALM BEACH BLVD STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055921",
            "telephone_number": "239-666-2652",
            "fax_number": "239-666-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTRAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "RIDRIGUEZ",
        "authorized_official_first_name": "ANIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-443-5300"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Central Lehigh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Department Store and Discount Uniforms, Inc.
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.