MEDICARE: PIRIS SPECIALTY HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208000000X	Pediatrics Physician
2	2080P0201X	Pediatric Allergy/Immunology Physician
3	225100000X	Physical Therapist
4	261QF0050X	Non-Surgical Family Planning Clinic/Center
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
6	207K00000X	Allergy & Immunology Physician
7	207R00000X	Internal Medicine Physician
8	207RC0000X	Cardiovascular Disease Physician
9	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1275351868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIRIS SPECIALTY HEALTH LLC

Provider Business Mailing Address
First Line	:	16050 S TAMIAMI TRL STE 109
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-4243
Country	:	US
Telephone Number	:	239-412-9802
Fax Number	:	786-732-6259

Provider Business Practice Location Address
First Line	:	16050 S TAMIAMI TRL STE 109
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-4243
Country	:	US
Telephone Number	:	239-412-9802
Fax Number	:	786-732-6259

Authorized Official
Title or Position	:	OWNER
Name	:	ERNESTO PIRIS
Credential	:
Telephone Number	:	305-720-0948

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	10/01/2024

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Directions to “PIRIS SPECIALTY HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

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