Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caloosa Medical Center, LLC

Organization Family Medicine Physician · NPI 1295373660

Caloosa Medical Center, LLC is a Family Medicine Physician in Fort Myers, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14651 Palm Beach Blvd Ste 100
Fort Myers, FL 33905-2331
Phone: (239) 849-6620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1295373660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clarennce Scott — Managing Partner · (239) 849-6620
NPI enumeratedDecember 17, 2019
Last updated in NPPESDecember 17, 2019
Certification dateDecember 17, 2019
Mailing address5180 Jackson Rd, Fort Myers, FL 33905-7518

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