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

Gustavo Oliveira Meinicke, MD

Individual provider Family Medicine Physician · NPI 1104559616

Gustavo Oliveira Meinicke, MD is a Family Practice in Lehigh Acres, Florida. Qualified in 2017, 9 years ago. Practices with Family Health Centers of Southwest Florida Inc, a 38-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
9
Licensed in
NE
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3415 Lee Blvd
Lehigh Acres, FL 33971-1576
Phone: (844) 342-7935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9487 (NE)

Record details

NPI number1104559616
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2022
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Family Health Centers Of Southwest Florida Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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