Healthcare Provider Details

I. General information

NPI: 1821966912
Provider Name (Legal Business Name): IES CRITICAL CARE FLORIDA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 LEE BLVD
LEHIGH ACRES FL
33936-4835
US

IV. Provider business mailing address

PO BOX 3344
INDIANAPOLIS IN
46206-3344
US

V. Phone/Fax

Practice location:
  • Phone: 469-420-5527
  • Fax:
Mailing address:
  • Phone: 469-420-5527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: NESTOR ZENAROSA
Title or Position: AO/OWNER
Credential: MD
Phone: 469-420-5527