REGENERATIVE MEDICAL THERAPY INC NPI 1104169242

NPI Information

  • NPI: 1104169242
  • Provider Name: REGENERATIVE MEDICAL THERAPY INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 16050 S TAMIAMI TRL STE 109
    FORT MYERS, FL
    ZIP 33908
  • Phone: (239) 243-8823

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NPI Details

REGENERATIVE MEDICAL THERAPY INC is a general practice in Fort Myers, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee REGENERATIVE MEDICAL THERAPY INC NPI is 1104169242. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16050 S TAMIAMI TRL STE 109
FORT MYERS, FL
ZIP 33908-243
Phone: (239) 243-8823
Fax: (239) 437-1451

The provider's authorized official is Alexander E. Rodi .
The authorized official title is President and has the following contact phone number (239) 243-8823.

The enumeration date for this NPI number is 3/27/2013 and was last updated on 3/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeOS5873FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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