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

Royal Palm Medical Group Inc

Organization Family Medicine Physician · NPI 1487985610

Royal Palm Medical Group Inc provides Family Medicine Physician services in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2665 Cleveland Ave Ste 102
Fort Myers, FL 33901-5884
Phone: (239) 313-6300
Fax: (239) 689-5524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Family Medicine Physician Taxonomy 207Q00000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence MM24026 (FL)

Record details

NPI number1487985610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lazaro Gonzalez — Owner · (239) 313-6300
NPI enumeratedJanuary 28, 2010
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021
Mailing address2665 Cleveland Ave Ste 102, Fort Myers, FL 33901-5884

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