NPIMap

Organization Active NPI

Executive Management for Adult Care LLC

  • Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1700104528
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OS7238 Issued in FL
Legal business name
EXECUTIVE MANAGEMENT FOR ADULT CARE LLC
Practice address
15660 San Carlos Blvd
Unit # 294
Fort Myers, FL 33908-2526
Phone
(239) 338-8069
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Dr. Marcia Elizabeth Fowler, D.O.NPI 1700078441
Title
Direct Owner
Phone
(239) 338-8069

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
Clinic/Center 261Q00000X OS7238 FL Primary

Addresses

Primary practice location

15660 San Carlos Blvd
Unit # 294
Fort Myers, FL 33908-2526

Mailing address

15660 San Carlos Blvd
Unit # 294
Fort Myers, FL 33908-2526
Phone (239) 338-8069

Other names 1

  • EMAC Other name

National Provider Directory

National Provider Directory

Locations

15660 San Carlos Blvd
Ste 294
Fort Myers, FL 33908
Phone (239) 338-8069

Practitioners & affiliated clinicians

Practitioners 2

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": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1700104528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15660 SAN CARLOS BLVD",
            "address_2": "UNIT # 294",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082526",
            "telephone_number": "239-338-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15660 SAN CARLOS BLVD",
            "address_2": "UNIT # 294",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082526",
            "telephone_number": "239-338-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE MANAGEMENT FOR ADULT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "239-338-8069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OS7238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 12, 2011; 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.