SOUTHWEST FLORIDA MEDICINE PLLC
NPI 1356886790
Family Medicine in Bradenton, FL

Active since December 20, 2016CLIA 10D2129268 · Waiver
2902 59TH ST W, SUITE C, BRADENTON, FL 34209(941) 877-7000 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2020, Apr 19, 2017, Jan 20, 2017 and 1 more (4 updates tracked since 2016).

About Southwest Florida Medicine Pllc NPPES

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

SOUTHWEST FLORIDA MEDICINE PLLC (NPI 1356886790) is a healthcare organization registered as a family medicine in Bradenton, Florida and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through April 17, 2027 and lists Parveen A Lalani, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356886790
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHWEST FLORIDA MEDICINE PLLC
Location Address2902 59TH ST W, SUITE CBradenton, FL 34209-7021
Mailing AddressPo Box 21116Bradenton, FL 34204-1116 · (941) 877-7000
Organization SubpartNo
Authorized OfficialParveen A LalaniOffice Manager · (248) 659-2718
Enumeration DateDecember 20, 2016
Last NPPES UpdateMay 21, 20244 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1356886790 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.
2902 59TH ST W, Bradenton, FL 34209

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Florida Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southwest Florida Medicine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1649455601
2902 59TH ST W STE C
Bradenton, FL 34209
(941) 877-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861846115
725 N 12TH AVE BLDG B
Arcadia, FL 34266
(863) 494-1242
✔ PECOS✔ Accepts Medicare51 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2129268

Southwest Florida Medicine PLLC · Bradenton, FL
Active · expires Apr 17, 2027
CLIA Number10D2129268
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2025
Certificate Expiration DateApril 17, 2027
Laboratory DirectorAzim Lalani
Laboratory Phone(941) 877-7000
Laboratory LocationSouthwest Florida Medicine PLLC2902 59th St, W Ste C, Bradenton, FL 34209
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Southwest Florida Medicine PLLC's NPI number?

The NPI number for Southwest Florida Medicine PLLC is 1356886790. It was assigned to this organization in the NPPES registry on December 20, 2016.

Where is Southwest Florida Medicine PLLC located?

Southwest Florida Medicine PLLC is located at 2902 59th St W Suite C, Bradenton, FL 34209. The listed phone number is (941) 877-7000.

What is Southwest Florida Medicine PLLC's specialty?

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

Is Southwest Florida Medicine PLLC enrolled in Medicare?

Yes. Southwest Florida Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Florida Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southwest Florida Medicine PLLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southwest Florida Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2129268) is associated with this NPI, valid through April 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southwest Florida Medicine PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and Molina Healthcare list Southwest Florida Medicine PLLC 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 Southwest Florida Medicine PLLC was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.