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

Kemberline Edouard

Individual provider Physician Assistant · NPI 1164128575

Kemberline Edouard is a Physician Assistant in Cape Coral, Florida. Qualified in 2025, 1 year ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

708 Del Prado Blvd S Ste 7
Cape Coral, FL 33990-2676
Phone: (239) 343-3660
Fax: (239) 343-4133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1505 W Tharpe St Apt 1311, Tallahassee, FL 32303-4543 — (407) 701-2596

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120422 (FL)

Record details

NPI number1164128575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2023
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing addressPo Box 2147, Fort Myers, FL 33902-2147

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cape Coral