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

Immokalee Family Doctor's Clinic, LLC

Organization General Practice Physician · NPI 1801157839

Immokalee Family Doctor's Clinic, LLC provides General Practice Physician services in Immokalee, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
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

555 N 15th St Unit A
Immokalee, FL 34142-2824
Phone: (239) 657-2779
Fax: (239) 657-3335
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME42490 (FL)

Record details

NPI number1801157839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Keppel — Office Manager · (239) 657-2779
NPI enumeratedJune 6, 2012
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address555 N 15th St Unit A, Immokalee, FL 34142-2824

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