Southwest Florida Medical Solutions LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

ME22095 Issued in FL

Legal business name

SOUTHWEST FLORIDA MEDICAL SOLUTIONS LLC

Practice address

9240 Bonita Beach Rd SE
Suite 2206
Bonita Springs, FL 34135-4249

Phone

(239) 274-3004

Fax

(239) 274-6007

NPI assigned

Aug 25, 2010

Last updated

Aug 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawrence Giventer, MD

Title

Medical Director

Phone

(239) 274-3004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1841506078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 BROADWAY",
            "address_2": "SUITE C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018148",
            "telephone_number": "239-274-3004",
            "fax_number": "239-274-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 BONITA BEACH RD SE",
            "address_2": "SUITE 2206",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354249",
            "telephone_number": "239-274-3004",
            "fax_number": "239-274-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FLORIDA MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "GIVENTER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-274-3004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME22095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tracey Sperrazza, MS, RDN, LDN

• Pain Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.