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

Andre Anderson

Individual provider Family Medicine Physician · NPI 1407235955

Andre Anderson is a Family Practice in Fort Myers, Florida. Qualified in 2015, 11 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
11
Licensed in
FL, IN
In the registry since
2015
Specialties on file
2

Practice location Address checks out

4771 S Cleveland Ave
Fort Myers, FL 33907-1317
Phone: (239) 343-9800
Fax: (239) 343-9848
Show map & directions

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

Additional practice locations (1)

  • 23450 Via Coconut Pt, Estero, FL 34135-1877 — (239) 468-0150

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME136218 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11018468A (IN)

Record details

NPI number1407235955
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 29, 2015
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing addressPo Box 2147, Fort Myers, FL 33902-2147

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Fort Myers