Lighthouse Family Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME59779 Issued in FL

Legal business name

LIGHTHOUSE FAMILY CARE

Practice address

9400 Gladiolus Dr
Ste 50
Fort Myers, FL 33908

Phone

(239) 437-7070

Fax

(239) 437-9022

NPI assigned

Aug 20, 2006

Last updated

Oct 25, 2012By 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

Mrs. Ileana Bracete Sosa

Title

Administrator

Phone

(239) 466-0600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1972618197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "address_2": "STE 50",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-437-7070",
            "fax_number": "239-437-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "address_2": "STE 50",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-437-7070",
            "fax_number": "239-437-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "SOSA",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_middle_name": "BRACETE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-466-0600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME59779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifechanging Counseling PA
• Lifestyles Chiropractic
• Lifestyles Healthcare Group PA (Lifestyles Chiropractic)
• Lifestyles Home Care, LLC
• Malcolm H. Light II, M.A.
• Janet Margaret Lightner, APRN
• Kathryn Marie Lile, M.A
• Christine Lillard
• May Joy D Lim, MD
• Natali Lima Torres, APRN

• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.