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

Eastern Medical Fort Meyers

Organization Family Medicine Physician · NPI 1013508878

Eastern Medical Fort Meyers is a Family Medicine Physician in Miami, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

8900 SW 24 St #202
Miami, FL 33165
Phone: (305) 901-9551
Fax: (786) 618-5219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1013508878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christian Dominguez — C.E.O · (305) 901-9551
NPI enumeratedFebruary 3, 2021
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021
Mailing address8900 Sw 24 St #202, Miami, FL 33165

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