Organization Active NPI

Medical Services of SW FL LLC

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1710471636
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL SERVICES OF SW FL LLC
Practice address
6311 S Pointe Blvd Ste 300
Fort Myers, FL 33919-4901
Phone
(239) 689-4036
Fax
(239) 689-4056
NPI assigned
Jun 15, 2018
Last updated
Oct 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Adriana Loukanova, MDNPI 1144217456
Title
MD
Phone
(239) 980-8701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

6311 S Pointe Blvd Ste 300
Fort Myers, FL 33919-4901

Mailing address

6311 S Pointe Blvd Ste 300
Fort Myers, FL 33919-4901
Phone (239) 689-4036

Other practice location 1

6311 S Pointe Blvd
Fort Myers, FL 33919-4901
Phone (239) 980-8701

National Provider Directory

National Provider Directory

Locations

6311 S Pointe Blvd
Ste 300
Fort Myers, FL 33919
Phone (239) 689-4036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1710471636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 S POINTE BLVD STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194901",
            "telephone_number": "239-689-4036",
            "fax_number": "239-689-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 S POINTE BLVD STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194901",
            "telephone_number": "239-689-4036",
            "fax_number": "239-689-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6311 S Pointe Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339194901",
            "country_code": "US",
            "telephone_number": "239-980-8701",
            "fax_number": "239-275-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL SERVICES OF SW FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "LOUKANOVA",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "239-980-8701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 17, 2018; 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.