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

Medical Centre of Fort Myers

Organization Psychologist · NPI 1356003081

Medical Centre of Fort Myers is a Psychologist in Fort Myers, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
8
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Practice location Address checks out

4901 Palm Beach Blvd Ste 101
Fort Myers, FL 33905-3252
Phone: (813) 252-6114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Psychologist Taxonomy 103T00000X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Clinic/Center Taxonomy 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Methadone Clinic Taxonomy 261QM2800X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1356003081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Demetris Weaver — President · (813) 252-6114
NPI enumeratedOctober 11, 2021
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021
Mailing address4901 Palm Beach Blvd Ste 101, Fort Myers, FL 33905-3252

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