Active NPI
Milestones Wellness Centers
- Addiction Medicine (Anesthesiology) Physician
- Fort Myers, FL
National Provider Identifier
1730638842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Anesthesiology) Physician
- License
- OS1417
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Anesthesiology) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BUS2016-00728 | Other | FL | FLORIDA TAX PERMIT |
National Provider Directory
National Provider DirectoryNPI 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.