OrganizationActive
Providence Family Life Center Corporation
NPI 1326773045 · Multi-Specialty Clinic/Center · Fort Myers, FL
Provider details
- NPI number
- 1326773045
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Laura Kohler, Billing Specialist(813) 720-7694
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 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
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
3592 Broadway Ste 100
Fort Myers, FL 33901-8056
Phone: (239) 676-3159
Fax: (239) 519-9202
Street-level locationGet directions
Mailing address
3049 Cleveland Ave
Fort Myers, FL 33901-7041
Registry dates
- Enumerated
- 2022-07-18
- Last updated
- 2022-07-18
- Certified
- 2022-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.