# FORT MYERS MEDICAL UNIVERSER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871020669
- **Authorized official:** XIOMARA VALIDO (CEO)
- **Authorized official phone:** (239) 244-4331

## Contact information

- **Practice address:** 4531 DELEON ST, FORT MYERS, FL 33907-1278
- **Practice address phone:** (239) 244-4331
- **Mailing address:** 4351 DELEON ST, SUITE 2, FORT MYERS, FL 33901
- **Mailing address phone:** (239) 244-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 05/11/2017