Active NPI
Darvis Eduardo Dager Lissabet, MD
- General Practice Physician
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1654
- Practice address
- 2301 Del Prado Blvd S Ste 890
Cape Coral, FL 33990-6609 - Phone
- (239) 574-8880
- NPI assigned
- Jul 3, 2023
- Last updated
- Jul 7, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN1654 | FL | Primary |
Addresses
Primary practice location
2301 Del Prado Blvd S Ste 890
Cape Coral, FL 33990-6609
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (727) 322-3439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of Puerto Rico School of Dentistry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3411 W Tampa Bay Blvd
Tampa, FL 33607-6619
Phone (813) 874-1509
5285 Summerlin Rd
Suite 101
Fort Myers, FL 33919-7601
Phone (239) 291-6633
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1654 | FL | MD | General Practice Physician |
| 16810 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primelife Health LLC | Current | Accepting new patients | |
| Revitalize Health Center LLC | General Practice | Current | Accepting new patients |
| Primelife Health LLC | Current | Accepting new patients | |
| Florida Medical Associates LLC | Past | Accepting new patients |
Locations
2621 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 220-5561
433 SW 10th St
Ocala, FL 34471
Phone (352) 436-4545
3411 W Tampa Bay Blvd
Tampa, FL 33607
Phone (813) 466-4678
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JAFDDD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1821869389
-
dba Revitalize Health Care Center of Fort Myers
- General Practice Physician
- Fort Myers, FL
- NPI 1689467136
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1144083577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1720765506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025925",
"telephone_number": "727-322-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 DEL PRADO BLVD S STE 890",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339906609",
"telephone_number": "239-574-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGER LISSABET",
"first_name": "DARVIS",
"middle_name": "EDUARDO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-03",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.