Fort Myers Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FORT MYERS PEDIATRICS LLC

Practice address

13770 Plantation Rd Ste 1
Fort Myers, FL 33912-4460

Phone

(239) 689-5561

Fax

(239) 689-5958

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Rolando T Otero, MDNPI 1831396472

Title

General Manager

Phone

(239) 848-6445

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rolando Tomas Otero, M.D.

  • Pediatrics Physician
  • Fort Myers, FL
  • NPI 1831396472
  NPD Authorized official
• Olga Victoria Fraga, M.D.

  • Pediatrics Physician
  • Fort Myers, FL
  • NPI 1982800769
  NPD

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1972823409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 PLANTATION RD STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124460",
            "telephone_number": "239-689-5561",
            "fax_number": "239-689-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 PLANTATION RD STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124460",
            "telephone_number": "239-689-5561",
            "fax_number": "239-689-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MYERS PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "239-848-6445",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Myers Medical Universer
• Fort Myers Modern Dentistry, PA
• Fort Myers Nursing Agency
• Fort Myers Nuviva Medical Weight Loss Inc
• Fort Myers Osl Operating LLC
• Fort Myers Primary Care and Wellness LLC
• Fort Myers Psychology, PA
• Fort Myers SL Opco LLC
• Fort Myers Therapy Collective, LLC.
• Fort Myers Vision Institute

• Pediatrics Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.