Fort Myers Primary Care and Wellness LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FORT MYERS PRIMARY CARE AND WELLNESS LLC

Practice address

14131 Metropolis Ave Ste 105
Fort Myers, FL 33912-4455

Phone

(239) 922-0909

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Khalid SabhaNPI 1902911068

Title

Owner

Phone

(239) 922-0909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khalid Sabha, MD

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1902911068
  Medicare reassignment Care Compare group NPD Authorized official
• Leonie Hernandez

  • Family Nurse Practitioner
  • Lehigh Acres, FL
  • NPI 1568994564
  Medicare reassignment Care Compare group NPD
• Rachelle Neus, APRN

  • Family Nurse Practitioner
  • Naples, FL
  • NPI 1508626318
  Medicare reassignment Care Compare group NPD
• Aneeta P Samuel, M. D.

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1962528885
  Medicare reassignment Care Compare group NPD
• Jamison Dicus, PA-C

  • Surgical Physician Assistant
  • Fort Myers, FL
  • NPI 1013261197
  Care Compare group

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1760164800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 METROPOLIS AVE STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124455",
            "telephone_number": "239-922-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 METROPOLIS AVE STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124455",
            "telephone_number": "239-922-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MYERS PRIMARY CARE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "SABHA",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-922-0909"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fort Myers Nuviva Medical Weight Loss Inc
• Fort Myers Osl Operating LLC
• Fort Myers Pediatrics LLC
• Fort Myers Psychology, PA
• Fort Myers SL Opco LLC
• Fort Myers Therapy Collective, LLC.
• Fort Myers Vision Institute
• Katy Fort

• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.