Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Caloosa Medical Center, LLC

Organization Family Medicine Physician · NPI 1295373660

Caloosa Medical Center, LLC provides Family Medicine Physician services in Fort Myers, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14651 Palm Beach Blvd Ste 100
Fort Myers, FL 33905-2331
Phone: (239) 849-6620
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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

Record details

NPI number1295373660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clarennce Scott — Managing Partner · (239) 849-6620
NPI enumeratedDecember 17, 2019
Last updated in NPPESDecember 17, 2019
Certification dateDecember 17, 2019
Mailing address5180 Jackson Rd, Fort Myers, FL 33905-7518

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