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

Florida Gulf Coast Univeristy

Organization Family Medicine Physician · NPI 1275141558

Florida Gulf Coast Univeristy is a Family Medicine Physician in Fort Myers, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

10501 Fgcu Blvd S
Fort Myers, FL 33965-6502
Phone: (239) 742-4299
Fax: (239) 590-7398
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1275141558
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Neal — Asst. Ad For Health Performance · (239) 745-4299
NPI enumeratedJuly 22, 2020
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 27, 2020
Mailing address10501 Fgcu Blvd S, Fort Myers, FL 33965-6502

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