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CALOOSA MEDICAL CENTER, LLC
NPI 1295373660
Family Medicine in Fort Myers, FL

Active since December 17, 2019
14651 PALM BEACH BLVD STE 100, FORT MYERS, FL 33905(239) 849-6620 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Caloosa Medical Center, Llc NPPES

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

CALOOSA MEDICAL CENTER, LLC (NPI 1295373660) is a healthcare organization registered as a family medicine in Fort Myers, Florida and active in the NPI registry since December 2019. The organization lists Clarennce A Scott, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1295373660
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCALOOSA MEDICAL CENTER, LLC
Location Address14651 PALM BEACH BLVD STE 100Fort Myers, FL 33905-2331
Mailing Address5180 Jackson RdFort Myers, FL 33905-7518 · (239) 849-6620
Phone(239) 849-6620
Organization SubpartNo
Authorized OfficialClarennce A ScottManaging Partner · (239) 849-6620
Enumeration DateDecember 17, 2019
✔ NPI 1295373660 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.
14651 PALM BEACH BLVD STE 100, Fort Myers, FL 33905
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

PHYSICIANS' PRIMARY CARE OF SOUTHWEST FLORIDA, P.L.
Family Medicine
14651 PALM BEACH BLVD STE 100
FORT MYERS, FL 33905
Lee County (239) 369-2903
DR. TASHA B WALLACE D.O.
Family Medicine
14651 PALM BEACH BLVD STE 100
FORT MYERS, FL 33905
Lee County (239) 369-2903

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 Caloosa Medical Center, LLC's NPI number?

The NPI number for Caloosa Medical Center, LLC is 1295373660. It was assigned to this organization in the NPPES registry on December 17, 2019.

Where is Caloosa Medical Center, LLC located?

Caloosa Medical Center, LLC is located at 14651 Palm Beach Blvd Ste 100, Fort Myers, FL 33905. The listed phone number is (239) 849-6620.

What is Caloosa 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 Caloosa Medical Center, LLC was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.