NPIMap

Organization Active NPI

Maternal Fetal Medicine of Southwest Florida

  • Maternal & Fetal Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1780983114
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA
Practice address
210 Del Prado Blvd
Suite 1
Cape Coral, FL 33990-1763
Phone
(239) 333-1240
Fax
(239) 333-1247
NPI assigned
Mar 24, 2011
Last updated
Mar 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Marty Menna
Title
Executive Assistant
Phone
(239) 333-3826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X NU Primary

Addresses

Primary practice location

210 Del Prado Blvd
Suite 1
Cape Coral, FL 33990-1763

Mailing address

8270 College Pkwy
Suite 205
Ft Myers, FL 33919
Phone (239) 333-3826

National Provider Directory

National Provider Directory
Tax ID family
Maternal Fetal Medicine of SW FL4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

210 Del Prado Blvd S
Ste 1
Cape Coral, FL 33990
Phone (239) 333-1240

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1780983114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8270 COLLEGE PKWY",
            "address_2": "SUITE 205",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33919",
            "telephone_number": "239-333-3826",
            "fax_number": "239-333-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 DEL PRADO BLVD",
            "address_2": "SUITE 1",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901763",
            "telephone_number": "239-333-1240",
            "fax_number": "239-333-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "MENNA",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "239-333-3826"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.