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SUNCOAST INTEGRATED MEDICAL CENTER LLC
NPI 1124636196
Family Medicine in Fort Myers, FL

Active since July 16, 2020
3840 COLONIAL BLVD STE 1, FORT MYERS, FL 33966(855) 778-6262(855) 778-3262 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2023, Mar 15, 2023, Mar 7, 2023 and 2 more (5 updates tracked since 2020).

About Suncoast Integrated Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNCOAST INTEGRATED MEDICAL CENTER LLC (NPI 1124636196), doing business as Suncoast Regenerative Medical Clinic Llc, is a healthcare organization registered as a family medicine in Fort Myers, Florida and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Naples and lists Scott Winfield Wadman, Coo, as its authorized official.

NPPES Registry Identity

NPI1124636196
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUNCOAST INTEGRATED MEDICAL CENTER LLC
Location Address3840 COLONIAL BLVD STE 1Fort Myers, FL 33966-1126
Mailing Address3840 Colonial Blvd Ste 1Fort Myers, FL 33966-1126 · (855) 778-6262
Phone(855) 778-6262
Fax(855) 778-3262
Organization SubpartNo
Authorized OfficialScott Winfield WadmanCoo · (855) 778-6262
Enumeration DateJuly 16, 2020
Last NPPES UpdateJuly 5, 20235 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1124636196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3840 COLONIAL BLVD STE 1, Fort Myers, FL 33966
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Other Names 1

Former Legal Business NameSuncoast Regenerative Medical Clinic Llc

Secondary Practice Location 1

Location 1681 Goodlette-Frank Rd N Ste 130Naples, FL 34102-5612 · Phone (855) 778-6262

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD BURGESS
Physician Assistant
3840 COLONIAL BLVD STE 1
FORT MYERS, FL 33966
Lee County (855) 778-6262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suncoast Integrated Medical Center LLC's NPI number?

The NPI number for Suncoast Integrated Medical Center LLC is 1124636196. It was assigned to this organization in the NPPES registry on July 16, 2020. The provider was formerly known as Suncoast Regenerative Medical Clinic LLC.

Where is Suncoast Integrated Medical Center LLC located?

Suncoast Integrated Medical Center LLC is located at 3840 Colonial Blvd Ste 1, Fort Myers, FL 33966. The listed phone number is (855) 778-6262.

What is Suncoast Integrated Medical Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Suncoast Integrated Medical Center LLC was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.