EMAC
NPI 1700104528
Clinic/Center in Fort Myers, FL

Active since May 05, 2010
15660 SAN CARLOS BLVD, UNIT # 294, FORT MYERS, FL 33908(239) 338-8069 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About EMAC

This page provides the complete NPI Profile along with additional information for Emac, a provider established in Fort Myers, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1700104528 assigned on May 2010. The practitioner's primary taxonomy code is 261Q00000X with license number OS7238 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is Emac. The authorized official of this NPI record is Dr. Marcia Elizabeth Fowler D.o. (Direct Owner)

NPI
1700104528 Verify this NPI
Provider Legal Name
EXECUTIVE MANAGEMENT FOR ADULT CARE LLC
Other Organization Name
EMAC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
15660 SAN CARLOS BLVD UNIT # 294 FORT MYERS, FL 33908
Location Phone
(239) 338-8069
Mailing Address
15660 SAN CARLOS BLVD UNIT # 294 FORT MYERS, FL 33908
Mailing Phone
(239) 338-8069
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2010
Last Update Date
08-12-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
OS7238
License State
FL
Taxonomy Description
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARCIA ELIZABETH FOWLER D.O.

Authorized Official Title
DIRECT OWNER
Authorized Official Phone
(239) 338-8069

Reviews for EMAC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
15660 SAN CARLOS BLVD, UNIT # 294
FORT MYERS, FL 33908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700104528, enumerated as an "organization" on May 05, 2010.

The provider is located at 15660 SAN CARLOS BLVD UNIT # 294 FORT MYERS, FL 33908 and the phone number is (239) 338-8069.

Clinic/Center with taxonomy code 261Q00000X.