Healthcare Provider Details

I. General information

NPI: 1740134345
Provider Name (Legal Business Name): ALICIA SGROI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8931 COLONIAL CENTER DR
FORT MYERS FL
33905-7809
US

IV. Provider business mailing address

PO BOX 2147
FORT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-9500
  • Fax:
Mailing address:
  • Phone: 239-343-2123
  • Fax: 239-343-2124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number9121421
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: