FSQ the Palms at Fort Myers LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7269 Issued in FL

Legal business name

FSQ THE PALMS AT FORT MYERS LLC

Doing business as

The Palms at Fort Myers

Practice address

2674 Winkler Ave
Fort Myers, FL 33901-9361

Phone

(239) 275-7800

Fax

(239) 275-2023

NPI assigned

Jun 17, 2006

Organization subpart

Yes

Parent organization

FSQ THE PALMS AT FORT MYERS LLCAs reported in NPPES

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

Authorized official

Name

Jeffrey C. Leer

Title

President & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 1

Addresses

Other names 1

• The Palms at Fort Myers Doing business as

Part of

FSQ the Palms at Fort Myers LLC

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1831134535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST STE 270",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581634",
            "telephone_number": "617-796-8387",
            "fax_number": "617-796-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2674 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019361",
            "telephone_number": "239-275-7800",
            "fax_number": "239-275-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSQ THE PALMS AT FORT MYERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FSQ THE PALMS AT FORT MYERS LLC",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "LEER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Palms at Fort Myers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Palms at Fort Myers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen A Frost, APRN
• Joshua Fry, ARNP
• Malorie Nicole Fry, MS, RD
• Olivia Fry, RMHCI
• FS Tenant Pool IV Trust
• Ft Myers Alf BSLC LLC
• Ft Myers Dental Service PA
• Ft Myers Digestive Health and Pain ASC LLC
• Ft Myers FL Ophthalmology ASC LLC
• Ft. Myers Chiropractic Center, Inc.

• Assisted Living Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.