OrganizationActive
Department of Veterans Affairs
NPI 1104079821 · Health Service Clinic/Center · Fort Myers, FL
Provider details
- NPI number
- 1104079821
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joanne Pacetti, Radiographer(239) 939-3939
- License
- 168043 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2727 Winkler Ave
Fort Myers, FL 33901-9358
Phone: (239) 939-3939
Approximate (ZIP-level) locationGet directions
Mailing address
3704 Se 18th Ave
Cape Coral, FL 33904-5075
Registry dates
- Enumerated
- 2008-10-25
- Last updated
- 2008-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.