G.I.D. Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

G.I.D. MEDICAL CENTER

Practice address

3677 Central Ave Ste I
Fort Myers, FL 33901-8226

Phone

(239) 245-7763

NPI assigned

Oct 19, 2023

Last updated

Oct 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ieleth S. Lopez ValladaresNPI 1306695168

Title

President

Phone

(239) 738-1113

Specialties & licenses 1

Addresses

Locations

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.

• Ieleth S Lopez Valladares, APRN

  • Family Nurse Practitioner
  • Cape Coral, FL
  • NPI 1306695168
  NPD Authorized official

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1730961004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 NE 26TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339098866",
            "telephone_number": "239-738-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 CENTRAL AVE STE I",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018226",
            "telephone_number": "239-245-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.I.D. MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "LOPEZ VALLADARES",
        "authorized_official_first_name": "IELETH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-738-1113"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalia Nerina Fusco, RN
• Travis James Fusselman, PA-C
• Fyzbiz, LLC (FYZICAL Therapy and Balance Centers)
• G & C Medical Center Inc
• Carlos Fernando G Moreira
• G&a Behavior Group LLC
• G&J USA Auto Brokers Inc (1st Choice Travel NEMT Services)
• Ga Patrick Anesthesia PA
• David G Gaar, MD
• Ivette Marie Gaar, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.