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

Immokalee Family Doctor's Clinic, LLC

Organization General Practice Physician · NPI 1801157839

Immokalee Family Doctor's Clinic, LLC is a General Practice Physician in Immokalee, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
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

555 N 15th St Unit A
Immokalee, FL 34142-2824
Phone: (239) 657-2779
Fax: (239) 657-3335
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME42490 (FL)

Record details

NPI number1801157839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Keppel — Office Manager · (239) 657-2779
NPI enumeratedJune 6, 2012
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address555 N 15th St Unit A, Immokalee, FL 34142-2824

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