Active NPI
Mercy'S Family Care Center
- Family Medicine Physician
- Fort Myers, FL
National Provider Identifier
1760162564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2332426 | Mercy'S Family Care Center LLC | Certificate of waiver | Oct 19, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.