Pondella Road Opco Llc

Specialty details in registry · North Fort Myers, FL

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At a glance

991 Pondella Rd, North Fort Myers, FL 33903-3500

NPPES record updated Apr 9, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

991 Pondella Rd
North Fort Myers, FL 33903-3500
Professional details: NPI, taxonomy & registry record
NPI1629757893
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
314000000X
Enumeration date
Jul 14, 2023
Record updated
Apr 9, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

314000000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

991 Pondella Rd
North Fort Myers, FL 33903-3500
Phone
(239) 995-8809
Fax
(239) 995-1253
Mailing address
991 PONDELLA RD

NORTH FORT MYERS, FL 339033500
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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