Organization Active NPI

Milestones Wellness Centers

  • Addiction Medicine (Anesthesiology) Physician
  • Fort Myers, FL
National Provider Identifier
1730638842
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
OS1417 Issued in FL
Legal business name
MILESTONES WELLNESS CENTERS
Practice address
3900 Broadway
Ste 7
Fort Myers, FL 33901-8193
Phone
(239) 931-0907
Fax
(239) 309-0330
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Dr. Louis Kovacs, DO
Title
Chief Medical Officer
Phone
(239) 931-0907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LA0401X OS1417 FL Primary

Addresses

Primary practice location

3900 Broadway
Ste 7
Fort Myers, FL 33901-8193

Mailing address

3900 Broadway
Ste 7
Fort Myers, FL 33901-8193
Phone (239) 931-0907

Other identifiers 1

IdentifierTypeStateIssuer
BUS2016-00728OtherFLFLORIDA TAX PERMIT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1730638842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 BROADWAY",
            "address_2": "STE 7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018193",
            "telephone_number": "239-931-0907",
            "fax_number": "239-309-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BROADWAY",
            "address_2": "STE 7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018193",
            "telephone_number": "239-931-0907",
            "fax_number": "239-309-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES WELLNESS CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "239-931-0907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "FL",
            "license": "OS1417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA TAX PERMIT",
            "identifier": "BUS2016-00728",
            "state": "FL"
        }
    ],
    "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 Sep 30, 2016; 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.