Individual provider Active NPI

Sandra M Lawrence, M.D.

  • Pediatric Rheumatology Physician
  • Fort Myers, FL
National Provider Identifier
1861489692
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
ME61088 Issued in FL
Practice address
15901 Bass Rd Ste 102
Fort Myers, FL 33908-3838
Phone
(239) 343-9890
Fax
(239) 343-4080
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X ME61088 FL Primary

Addresses

Primary practice location

15901 Bass Rd Ste 102
Fort Myers, FL 33908-3838

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9890

Other practice location 1

1625 SE 3rd Ave
Suite 703
Fort Lauderdale, FL 33316-2521
Phone (954) 355-4360

Other practice location 2

9960 Central Park Blvd N Ste 225
Boca Raton, FL 33428-1705
Phone (954) 696-5623

Other practice location 3

1508 SE 3rd Ave
Fort Lauderdale, FL 33316-2502
Phone (954) 696-5623

Other identifiers 1

IdentifierTypeStateIssuer
255036900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PEDIRHEUMBOCA@GMAIL.COM Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260306003107 FL Practitioner - Rheumatology 1456833458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 2147
Fort Myers, FL 33902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME61088FLMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Mar 28, 2026 Accepting new patients
Sandra Lawrence MD PA Pediatric Rheumatology CurrentSince Jul 17, 2022 Accepting new patients
Lee Health System Inc CurrentSince Mar 28, 2026 Accepting new patients

Locations

9960 Central Park Blvd N
Ste 225
Boca Raton, FL 33428
Phone (561) 202-3155

15901 Bass Rd
Ste 102
Fort Myers, FL 33908
Phone (239) 343-9890

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1861489692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-9890",
            "fax_number": "239-343-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 BASS RD STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083838",
            "telephone_number": "239-343-9890",
            "fax_number": "239-343-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 SE 3rd Ave",
            "address_2": "Suite 703",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162521",
            "country_code": "US",
            "telephone_number": "954-355-4360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9960 Central Park Blvd N Ste 225",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334281705",
            "country_code": "US",
            "telephone_number": "954-696-5623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1508 SE 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162502",
            "country_code": "US",
            "telephone_number": "954-696-5623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "SANDRA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "FL",
            "license": "ME61088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255036900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PEDIRHEUMBOCA@GMAIL.COM",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "9960 CENTRAL PK BLVD N, STE 225. BOCA RATON FL 33428",
            "address_1": "9960 Central Park Blvd N Ste 225",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334281705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.