LCH-GOLISANO PEDS PC BAYSHORE – Federally Qualified Health Center (FQHC), NPI 1255171765

LCH-GOLISANO PEDS PC BAYSHORE is a healthcare provider. based in Fort myers, Florida. specializing in Federally Qualified Health Center (FQHC). The NPI Number for LCH-GOLISANO PEDS PC BAYSHORE is 1255171765

Main info

Organization
Name
LCH-GOLISANO PEDS PC BAYSHORE
NPI
1255171765
Phone
(239) 343-9888
Address
PO BOX 2147
Authorized Official
VIVIAN M RODRIGUEZ CREDENTIALING SPECIALIST
Enumeration Date
31 May 2024
Last Update Date
31 May 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for LCH-GOLISANO PEDS PC BAYSHORE

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-9888

    Fax: (239) 343-4266

    Type: Mailing

  • 22655 BAYSHORE RD STE 120

    PORT CHARLOTTE, FL 339802005

    Phone: (239) 343-9888

    Fax: (239) 343-4266

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33902)

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Reviews

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Frequently asked questions

Can I verify LCH-GOLISANO PEDS PC BAYSHORE with an NPI only?
You can start verification with NPI 1255171765 for LCH-GOLISANO PEDS PC BAYSHORE, then check state licensing separately.
Is LCH-GOLISANO PEDS PC BAYSHORE listed as active for patients and plans?
The listing shows LCH-GOLISANO PEDS PC BAYSHORE as active in the NPI system.
What healthcare role does LCH-GOLISANO PEDS PC BAYSHORE hold?
Scheduling teams often label LCH-GOLISANO PEDS PC BAYSHORE under Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where is LCH-GOLISANO PEDS PC BAYSHORE based?
LCH-GOLISANO PEDS PC BAYSHORE is tied to Fort Myers, Florida in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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