OrganizationActive
Associates in Geriatric Medicine LLC
NPI 1790015717 · Geriatric Medicine (Family Medicine) Physician · Fort Myers, FL
Provider details
- NPI number
- 1790015717
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Prasad Kasireddy, Officemanager(503) 490-4362
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6503 Plantation Preserve Cir N
Fort Myers, FL 33966-8366
Phone: (727) 798-0482
Approximate (ZIP-level) locationGet directions
Mailing address
6503 Plantation Preserve Cir N
Fort Myers, FL 33966-8366
Registry dates
- Enumerated
- 2010-01-14
- Last updated
- 2015-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.