Active NPI
Kinetics Medical Center LLC
- Family Medicine Physician
- Fort Myers, FL
National Provider Identifier
1891683447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.