SKIN CANCER CENTER OF NAPLES LLC (NPI# 1164875936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164875936 |
| Entity Type | Organization |
| Organization Name | SKIN CANCER CENTER OF NAPLES LLC |
| Other Organization Name | SKIN CANCER CENTER OF BONITA SPRINGS |
| Practice Address |
26800 S Tamiami Trl Suite 360 Bonita Springs FL 34134-4349 |
| Mailing Address |
29170 Positano Ln Naples FL 34110-2851 |
| Practice Telephone | 2394951234 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | DAVID FREITAG (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3016614300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9361941 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Skin Cancer Center of Bonita Springs | Doing Business As Name - Organization |
| Street Address |
26800 S TAMIAMI TRL SUITE 360 |
| City | BONITA SPRINGS |
| State | FL |
| Zip Code | 34134-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720066673 | Ivan E Terrero | Dentist | 26800 S Tamiami Trl, Suite 350, Bonita Springs, FL 34134-4349 | 2006-01-01 |
| 1356711865 | Lizet Balazi | Physician Assistant | 26800 S Tamiami Trl, #310, Bonita Springs, FL 34134-4349 | 2015-09-28 |
| 1578994372 | Brian G. Fabian Md Pa | Specialist | 26800 S Tamiami Trl, #310, Bonita Springs, FL 34134-4349 | 2013-12-03 |
| 1619268547 | Erin Lake | Nurse Practitioner | 26800 S Tamiami Trl, Suite 340, Bonita Springs, FL 34134-4349 | 2011-04-26 |
| 1063673382 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 26800 S Tamiami Trl, #150, Bonita Springs, FL 34134-4349 | 2008-06-19 |
| 1528269701 | Mark David Bronner | Dentist | 26800 S Tamiami Trl, 240, Bonita Springs, FL 34134-4349 | 2007-05-29 |
| 1245362763 | Brian George Fabian | Dermatology | 26800 S Tamiami Trl, Suite 310, Bonita Springs, FL 34134-4349 | 2007-03-10 |
| 1982760369 | Arturo Balandra | Urology | 26800 S Tamiami Trl, Suite 250, Bonita Springs, FL 34134-4349 | 2006-12-29 |
| 1134235617 | Victoria L Yorke | Family Medicine | 26800 S Tamiami Trl, Suite 340, Bonita Springs, FL 34134-4349 | 2006-08-21 |
| 1225078017 | Joel Robert Sukonik | Family Medicine | 26800 S Tamiami Trl, #150, Bonita Springs, FL 34134-4349 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255803706 | Sheila Mourick | Home Health | 3920 Via Del Ray, Suite 4, Bonita Springs, FL 34134 | 2018-12-21 |
| 1447702162 | Averie Bendana | Hearing Instrument Specialist | 15 8th St Suite B, Hoglund Family Hearing, Bonita Springs, FL 34134 | 2016-10-28 |
| 1366990830 | Jordania Psychiatry LLC | Clinic/Center | 25111 Pennyroyal Dr, Bonita Springs, FL 34134 | 2016-09-14 |
| 1447682497 | Shancy Varghese Kanacheril | Pharmacist | 25121 S. Tamiami Trail, Bonita Springs, FL 34134 | 2013-08-01 |
| 1861762163 | Alyssa Haraczy | Pharmacist | 25121 S. Tamiami Trl, Bonita Springs, FL 34134 | 2012-01-04 |
| 1982905659 | Jessica Ann Rosen | Speech-Language Pathologist | 3384 Woods Edge Cir Ste 104, Bonita Springs, FL 34134 | 2010-11-10 |
| 1902116718 | Keenan Chiropractic Pa | Chiropractor | 3388 Woods Edge Circle Suite 102, Bonita Springs, FL 34134 | 2010-10-14 |
| 1659683076 | Amy Marie Mcneal | Massage Therapist | 28811 S. Tamiami Trail Unit 13-14, Bonita Springs, FL 34134 | 2010-07-14 |
| 1740509157 | Sarah Churton | Dermatology | 23471 Walden Center Drive, Suite 300, Bonita Springs, FL 34134 | 2010-05-25 |
| 1609003516 | Ram Prasad Kafle | Family Medicine | 26800 S Tamiami Trl Ste 340, Bonita Springs, FL 34134 | 2009-06-18 |
| Find all providers in zip 34134 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154912 | Steffany Acovski | Nurse Practitioner | 4410 Vanda Dr, Bonita Springs, FL 34134-4082 | 2019-09-20 |
| 1225481005 | Sydney Tateo | Nurse Practitioner | 26800 Tamiami Trl, Suite 360, Bonita Springs, FL 34134-4349 | 2016-07-18 |
| 1649626409 | Jahaira Elizabeth Lasanta | Nurse Practitioner | 26649 Dublin Woods Cir, Bonita Springs, FL 34135-7224 | 2016-05-11 |
| 1821336694 | Caroline Smith | Nurse Practitioner | 9500 Bonita Beach Rd Se Ste 101, Bonita Springs, FL 34135-4679 | 2013-01-29 |
| 1205433687 | Malise Ann Novotny | Nurse Practitioner | 9776 Bonita Beach Rd Se, Bonita Springs, FL 34135-4773 | 2020-10-08 |
| 1699233312 | Malorie Nicole Saccomani | Nurse Practitioner | 27200 Imperial Pkwy, Bonita Springs, FL 34135-5801 | 2019-03-12 |
| 1205243151 | Lauren Elizabeth Baptista | Nurse Practitioner | 8800 Terrene Ct, Suite #102, Bonita Springs, FL 34135-9530 | 2014-07-11 |
| 1427475722 | Marcanthony H Morgan | Nurse Practitioner | 9500 Bonita Beach Rd Se Ste 101, Bonita Springs, FL 34135-4679 | 2014-03-25 |
| 1295080141 | Michelle E Clark | Nurse Practitioner | 24040 S Tamiami Trl Ste 202, Bonita Springs, FL 34134-7040 | 2012-07-17 |
| 1619268547 | Erin Lake | Nurse Practitioner | 26800 S Tamiami Trl, Suite 340, Bonita Springs, FL 34134-4349 | 2011-04-26 |
| Find all providers in BONITA SPRINGS | ||||
| City | BONITA SPRINGS |
| Zip Code | 34134 |
Please comment or provide details below to improve the information on SKIN CANCER CENTER OF NAPLES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.