IndividualActive
Manuella Constantino Sideropoulos, DO
NPI 1093418238 · Family Medicine Physician · Fort Myers, FL
Provider details
- NPI number
- 1093418238
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- OS22017 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2780 Cleveland Ave Ste 709
Fort Myers, FL 33901-5857
Phone: (239) 343-3831
Fax: (239) 343-2301
Street-level locationGet directions
Mailing address
Po Box 2147
Fort Myers, FL 33902-2147
Additional practice locations (1)
- 3833 Schoolhouse Rd E Apt 6Fort Myers, FL 33916-7723Phone: (239) 340-4368
Registry dates
- Enumerated
- 2023-03-27
- Last updated
- 2026-02-17
- Certified
- 2026-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.