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Immokalee Family Doctor'S Clinic, LLC

General Practice Physician in Immokalee, FL · enumerated 2012 · authorized official Andrea Keppel, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801157839

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Registry record

Entity type Organization (Type 2)
Legal business name Immokalee Family Doctor'S Clinic, LLC
Practice address 555 N 15th St Unit A, Immokalee, FL, 34142
Fax (239) 657-3335
Enumeration date Jun 6, 2012
Last updated in NPPES Apr 25, 2022

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License ME42490 (FL) Primary

Authorized official

Name Andrea Keppel
Title Office Manager

Other identifiers

Identifier Type State Issuer
113836500 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-04-25. Verify at npiregistry.cms.hhs.gov.
Where is Immokalee Family Doctor'S Clinic, LLC located?
The practice location on file with NPPES is in Immokalee, FL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-25.