SANTE PLUS MEDICAL CENTER
NPI 1407514904
Clinic/Center in Immokalee, FL
NPI Status: Active since December 01, 2021
Contact Information
1502 LAKE TRAFFORD RD
IMMOKALEE, FL
ZIP 34142
Phone: (239) 900-9170
Fax: (239) 603-2377
- Organization
- Clinic/Center
- CLIA Number: 10D2281906
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-14-2027
About SANTE PLUS MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Sante Plus Medical Center, a provider established in Immokalee, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1407514904 assigned on December 2021. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Ricot Jeansimon (Owner)
- NPI
- 1407514904
- Provider Name
- SANTE PLUS MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 1502 LAKE TRAFFORD RD IMMOKALEE, FL 34142
- Location Phone
- (239) 900-9170
- Location Fax
- (239) 603-2377
- Mailing Address
- 3822 BROADWAY STE A FORT MYERS, FL 33901
- Mailing Phone
- (239) 603-2377
- Mailing Fax
- (239) 603-2377
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-01-2021
- Last Update Date
- 12-01-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2281906
- Facility Type
- Physician Office
- Certificate Effective Date
- May 15, 2025
- Certificate Expiration Date
- May 14, 2027
- Laboratory Director
- REYNALDO PEZZOTTI-SMITH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sante Plus Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 0 | 7 | 5 | 1 | 4 | 9 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 10 | 1 | 8 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 1 + 0 + 1 + 8 + 9 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1407514904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114035466 | DR. JOSEPH G MOYSE Individual | Family Medicine | 1502 LAKE TRAFFORD RD IMMOKALEE, FL 34142 (239) 900-9170 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407514904, enumerated in the NPI registry as an "organization" on December 01, 2021
The provider is located at 1502 Lake Trafford Rd Immokalee, Fl 34142 and the phone number is (239) 900-9170
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 10D2281906 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 01, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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