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

Jerry Matthew Lanza, MD

Individual provider Family Medicine Physician · NPI 1710483920

Jerry Matthew Lanza, MD is a Family Practice in Cape Coral, Florida. Qualified in 2007, 19 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2018
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

1708 Cape Coral Pkwy W Ste 6
Cape Coral, FL 33914-6985
Phone: (239) 540-1495
Fax: (239) 540-1080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2780 Cleveland Ave Ste 709, Fort Myers, FL 33901-5857 — (864) 389-9780

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME149479 (FL)

Record details

NPI number1710483920
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 5, 2018
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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