NPIMap

Organization Active NPI

Clinic Nova Vida

  • General Practice Physician
  • Fort Myers, FL
National Provider Identifier
1780516377
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLINIC NOVA VIDA
Practice address
4110 Center Pointe Dr # 220
Fort Myers, FL 33916-9450
Phone
(315) 992-0541
NPI assigned
May 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Authorized official

Name
Yosvel Sosa Lopez, APRNNPI 1710673942
Title
Provider
Phone
(315) 992-0541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4110 Center Pointe Dr # 220
Fort Myers, FL 33916-9450

Mailing address

4110 Center Pointe Dr # 220
Fort Myers, FL 33916-9450

National Provider Directory

National Provider Directory

Locations

4110 Center Pointe Dr
#220
Fort Myers, FL 33916
Phone (315) 992-0541

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1780099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1780516377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 CENTER POINTE DR # 220",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 CENTER POINTE DR # 220",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169450",
            "telephone_number": "315-992-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC NOVA VIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-30",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "SOSA LOPEZ",
        "authorized_official_first_name": "YOSVEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "315-992-0541",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "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 May 30, 2026; 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.