LEE COUNTY TRAUMA SERVICES DISTRICT
NPI 1639226608
Surgery - Trauma Surgery in Fort Myers, FL

Active since January 04, 2007
13685 DOCTORS WAY STE 100, FORT MYERS, FL 33912(239) 343-1612(239) 343-4229 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2023, Jan 12, 2022 (2 updates tracked since 2022).

About Lee County Trauma Services District NPPES

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

LEE COUNTY TRAUMA SERVICES DISTRICT (NPI 1639226608) is a healthcare organization registered as a trauma surgery in Fort Myers, Florida and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Fort Myers and lists Larry Antonucci, President,ceo, as its authorized official.

NPPES Registry Identity

NPI1639226608
Entity TypeOrganization
Primary Taxonomy2086S0127X
Legal Business NameLEE COUNTY TRAUMA SERVICES DISTRICT
Location Address13685 DOCTORS WAY STE 100Fort Myers, FL 33912-4337
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-1500 · Fax (239) 424-1423
Fax(239) 343-4229
Organization SubpartNo
Authorized OfficialLarry AntonucciPresident,ceo · (239) 343-6537
Enumeration DateJanuary 4, 2007
Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1639226608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
13685 DOCTORS WAY STE 100, Fort Myers, FL 33912

Secondary Practice Location 1

Location 12780 Cleveland Ave, Suite 702Fort Myers, FL 33901-5858 · Phone (239) 332-6400 · Fax (239) 334-5968

Other Identifiers 1

Medicaid268529900FL

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)

Lee County Trauma Services District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Lee County Trauma Services District, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

General Surgery9
Critical Care (Intensivists)2
Neurosurgery2
Nurse Practitioner2

Clinicians, nearest first (15)

Neurosurgery
NPI 1144208406
13685 DOCTORS WAY STE 350
Fort Myers, FL 33912
(239) 343-3800
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1710150669
13685 DOCTORS WAY STE 100
Fort Myers, FL 33912
(239) 343-1612
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1053731133
13685 DOCTORS WAY STE 100
Fort Myers, FL 33912
(239) 343-1612
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1831585199
13685 DOCTORS WAY STE 100
Fort Myers, FL 33912
(239) 343-1612
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1396178943
13681 DOCTORS WAY STE 140
Fort Myers, FL 33912
(239) 343-0434
✔ PECOS✔ Accepts Medicare0.1 mi
Neurosurgery
NPI 1821064957
7331 COLLEGE PKWY STE 300
Fort Myers, FL 33907
(239) 337-2003
✔ PECOS✔ Accepts Medicare1.9 mi
General Surgery
NPI 1669884078
2780 CLEVELAND AVE STE 702
Fort Myers, FL 33901
(239) 343-3474
✔ PECOS✔ Accepts Medicare5.9 mi
General Surgery
NPI 1548415086
2780 CLEVELAND AVE # 702
Fort Myers, FL 33901
(239) 343-3474
✔ PECOS✔ Accepts Medicare5.9 mi
General Surgery
NPI 1912260258
2780 CLEVELAND AVE STE 702
Fort Myers, FL 33901
(239) 343-3474
✔ PECOS✔ Accepts Medicare5.9 mi
General Surgery
NPI 1619119922
2780 CLEVELAND AVE SUITE 702
Fort Myers, FL 33901
(239) 343-3474
✔ PECOS✔ Accepts Medicare5.9 mi
General Surgery
NPI 1174937130
2780 CLEVELAND AVE STE 702
Fort Myers, FL 33901
(239) 343-3474
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1922559160
2780 CLEVELAND AVE STE 702
Fort Myers, FL 33901
(239) 343-3474
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1508490475
2776 CLEVELAND AVE
Fort Myers, FL 33901
(239) 343-2606
✔ PECOS✔ Accepts Medicare6.1 mi
General Surgery
NPI 1952622797
650 JOEL DR
Fort Campbell, KY 42223
(270) 798-8407
✔ PECOS✔ Accepts Medicare769 mi
General Surgery
NPI 1710975354
1701 N SENATE BLVD
Indianapolis, IN 46202
(317) 962-5820
✔ PECOS946 mi

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

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 Lee County Trauma Services District's NPI number?

The NPI number for Lee County Trauma Services District is 1639226608. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Lee County Trauma Services District located?

Lee County Trauma Services District is located at 13685 Doctors Way Ste 100, Fort Myers, FL 33912. The listed phone number is (239) 343-1612.

What is Lee County Trauma Services District's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Lee County Trauma Services District enrolled in Medicare?

Yes. Lee County Trauma Services District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lee County Trauma Services District?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Lee County Trauma Services District. 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. The largest specialties are General Surgery (9), Critical Care (Intensivists) (2) and Neurosurgery (2). Of these, 4 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lee County Trauma Services District accept?

Health plans from Ambetter Health, Ambetter of Alabama and Wellpoint list Lee County Trauma Services District 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 Lee County Trauma Services District was last updated on November 6, 2023. 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.