Organization
IMPACT FOR DEVELOPMENTAL EDUCATION, INC
Active
Organization
IMPACT FOR DEVELOPMENTAL EDUCATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE GIBBS (EXECUTIVE DIRECTOR)
(239) 628-1061
Entity
Organization
Contact information
Practice address
1650 MEDICAL LANE SUITE 4, FORT MYERS, FL 33907-1116
(239) 334-6160
(239) 334-1339
Mailing address
1650 MEDICAL LN STE 4, FORT MYERS, FL 33907-1116
(239) 628-1061
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105037500
—
FL
Enumeration date
09/28/2022
Last updated
05/28/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up