is a General Practice in Naples, Florida. practices all healthcare services and medical treatments related to General Practice. The NPI Number for is 1528010022. The last update date is .
's current location address is 501 Goodlette Rd North Suite D-306, Naples, Florida. You can contact this provider via phone number 2392630014. The mailing address for is 501 Goodlette Rd North Suite D-306, Naples, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 501 Goodlette Rd North Suite D-306, Naples, Florida |
| Phone Number | 2392630014 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1528010022 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 501 Goodlette Rd North Suite D-306 |
|---|---|
| City | Naples |
| State | Florida (FL) |
| Post Code | 34102 |
| Phone Number | 2392630014 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | ME60802 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 289683 | FL | ONE HEALTH PLAN | |
| 192958 | FL | UNITED HEALTH CARE | |
| 14488 | FL | BLUE SHIELD | |
| 4226865 | FL | AETNA | |
| 57640900 | FL | -- | |
| 40916P | FL | BLUE CROSS |
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