Metro Medical Center Corporation

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

ME124453 Issued in FL

Legal business name

METRO MEDICAL CENTER CORPORATION

Practice address

3940 Metro Pkwy Ste 103
Fort Myers, FL 33916-9407

Phone

(561) 401-0568

NPI assigned

Mar 30, 2017

Organization subpart

No

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

Authorized official

Name

Daniel J Borman, M.D.

Title

Owner/Ceo

Phone

(847) 894-1127

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1730611526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 METRO PKWY STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169407",
            "telephone_number": "561-401-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 METRO PKWY STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169407",
            "telephone_number": "561-401-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MEDICAL CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "BORMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "847-894-1127",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "ME124453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jihane Messoud, CAA
• Jorge Martin Mestas, MD
• Alcine Metayer
• Michael P Metke, M.D.
• Metro Alliance Surgery Center LLC
• Metro Medical Plaza Optical
• Shawnda M Metzger, PTA
• Diana L Meyer, CRNA
• Jessica Meyer
• Michele Marie Meyer

• Pain Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pain Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.