TLC MEDICAL CENTER LLC
NPI 1295102598
Clinic/Center in Fort Myers, FL

Active since August 22, 2015CLIA 10D2112775 · Waiver
2040 COLLIER AVE, SUITE A, FORT MYERS, FL 33901(239) 645-3131 Get Directions Write a Review

NPPES record last updated: August 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tlc Medical Center Llc NPPES

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

TLC MEDICAL CENTER LLC (NPI 1295102598) is a healthcare organization registered as a clinic/center in Fort Myers, Florida and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Jacques Herve Desir, President, as its authorized official.

NPPES Registry Identity

NPI1295102598
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTLC MEDICAL CENTER LLC
Location Address2040 COLLIER AVE, SUITE AFort Myers, FL 33901-8124
Mailing Address1411 Se 33rd StCape Coral, FL 33904-4275 · (239) 645-3131
Organization SubpartNo
Authorized OfficialJacques Herve DesirPresident · (239) 645-3131
Enumeration DateAugust 22, 2015
NPI 1295102598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2040 COLLIER AVE, Fort Myers, FL 33901

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2112775

Tlc Medical Center LLC · Fort Myers, FL
Active · expires May 8, 2028
CLIA Number10D2112775
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorAlfonso Garcia Bello
Laboratory Phone(239) 208-7756
Laboratory LocationTlc Medical Center LLC2040 Collier Ave Ste A, Fort Myers, FL 33901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Urgent Care)
2040 COLLIER AVE, SUITE A
FORT MYERS, FL 33901
Clinic/Center
2040 COLLIER AVE
FORT MYERS, FL 33901
Nurse Practitioner (Family)
2040 COLLIER AVE, SUITE A
FORT MYERS, FL 33901

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 Tlc Medical Center LLC's NPI number?

The NPI number for Tlc Medical Center LLC is 1295102598. It was assigned to this organization in the NPPES registry on August 22, 2015.

Where is Tlc Medical Center LLC located?

Tlc Medical Center LLC is located at 2040 Collier Ave Suite A, Fort Myers, FL 33901. The listed phone number is (239) 645-3131.

What is Tlc Medical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Tlc Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2112775) is associated with this NPI, valid through May 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tlc Medical Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Tlc Medical Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tlc Medical Center LLC was last updated on August 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.