Healthcare Provider Details

I. General information

NPI: 1538022421
Provider Name (Legal Business Name): KALI GAMEZ RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7451 GLADIOLUS DR STE C
FORT MYERS FL
33908-5193
US

IV. Provider business mailing address

2776 CLEVELAND AVE
FORT MYERS FL
33901-5864
US

V. Phone/Fax

Practice location:
  • Phone: 239-228-4615
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11043693
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: