Organization Active NPI

Kinetics Medical Center LLC

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1891683447
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KINETICS MEDICAL CENTER LLC
Practice address
2665 Cleveland Ave Ste 103
Fort Myers, FL 33901-5884
Phone
(754) 201-5757
NPI assigned
Jun 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Zuleika Hernandez Perea
Title
Owner
Phone
(754) 201-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2665 Cleveland Ave Ste 103
Fort Myers, FL 33901-5884

Mailing address

2665 Cleveland Ave Ste 103
Fort Myers, FL 33901-5884
Phone (754) 201-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260305002008 FL Part B Supplier - Clinic/Group Practice 1052893344 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

2665 Cleveland Ave
Ste 103
Fort Myers, FL 33901
Phone (239) 245-7394

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": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1891683447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 CLEVELAND AVE STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015884",
            "telephone_number": "754-201-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 CLEVELAND AVE STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015884",
            "telephone_number": "754-201-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETICS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ PEREA",
        "authorized_official_first_name": "ZULEIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-201-5757"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.