Organization Active NPI

Mercy'S Family Care Center

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1760162564
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERCY'S FAMILY CARE CENTER
Practice address
43 Barkley Cir Ste 102
Fort Myers, FL 33907-4544
Phone
(239) 603-7303
Fax
(239) 603-7107
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Jose R Pereira
Title
Manager
Phone
(239) 603-7303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

43 Barkley Cir Ste 102
Fort Myers, FL 33907-4544

Mailing address

43 Barkley Cir Ste 102
Fort Myers, FL 33907-4544
Phone (239) 603-7303

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2332426Mercy'S Family Care Center LLC43 Barkley Circle, Suite 201, Fort Myers, FL 33907Certificate of waiverOct 19, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1760162564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BARKLEY CIR STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074544",
            "telephone_number": "239-603-7303",
            "fax_number": "239-603-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BARKLEY CIR STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074544",
            "telephone_number": "239-603-7303",
            "fax_number": "239-603-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY'S FAMILY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-603-7303"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.