Healthcare Provider Details

I. General information

NPI: 1538063391
Provider Name (Legal Business Name): SW FLORIDA MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3637 DEL PRADO BLVD S STE 101
CAPE CORAL FL
33904-7199
US

IV. Provider business mailing address

3637 DEL PRADO BLVD S STE 101
CAPE CORAL FL
33904-7199
US

V. Phone/Fax

Practice location:
  • Phone: 239-257-3435
  • Fax: 877-698-6257
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: TOMAS TOLEDO
Title or Position: OWNER
Credential:
Phone: 239-269-8767