KILE SKROBACKI


Address: 350 7th St N, Naples, FL 34102-5754
Phone: 2396244650

KILE SKROBACKI (NPI# 1750827416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750827416
Entity Type Individual
Full Name KILE SKROBACKI
Credential PA-C
Practice Address 350 7th St N
Naples
FL 34102-5754
Mailing Address Po Box 8569
Naples
FL 34101-8569
Practice Telephone 2396244650
Practice Fax Number 2396244651
Mailing Telephone 2396240400
Enumeration Date 2017-01-18
Last Update Date 2020-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9112880 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 105863900 05
FL FLORIDA BLUE H4NXO 01

Office Location

Street Address 350 7TH ST N
City NAPLES
State FL
Zip Code 34102-5754

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295738698 Adil Mohamed Sanaulla Internal Medicine 350 7th St N, Naples, FL 34102-5754 2005-05-31
1649871005 Sharay Estevez Nurse Practitioner 350 7th St N, Naples, FL 34102-5754 2020-11-03
1104434562 Farnaz Abbasimoradi Internal Medicine 350 7th St N, Naples, FL 34102-5754 2020-07-21
1881211993 Keegan Todd Plowman Internal Medicine 350 7th St N, Naples, FL 34102-5754 2020-07-06
1043836927 Valerie Dornema Registered Nurse 350 7th St N, Naples, FL 34102-5754 2020-06-17
1821613985 Matthew Gregory Miller Student in an Organized Health Care Education/Training Program 350 7th St N, Naples, FL 34102-5754 2020-06-14
1346864063 Blirjon Baxhija Internal Medicine 350 7th St N, Naples, FL 34102-5754 2020-05-29
1235753872 Ryan Holbrook Student in an Organized Health Care Education/Training Program 350 7th St N, Naples, FL 34102-5754 2020-05-29
1295363927 Amr Samy Abdelmohsen Student in an Organized Health Care Education/Training Program 350 7th St N, Naples, FL 34102-5754 2020-03-30
1578191326 Nicholas Anthony Mcdonald Student in an Organized Health Care Education/Training Program 350 7th St N, Naples, FL 34102-5754 2020-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710482948 Aktive Motion Physical Therapy Inc Clinic/Center 1250 9th St N Ste 204, Naples, FL 34102 2018-03-28
1912428632 Daily Care At Home, LLC Home Health 180 9th Street South, Suite 200, Naples, FL 34102 2017-07-03
1760737365 Family Private Care Inc Home Health 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 2012-07-19
1013205384 Valerie Jean Bress Nurse Practitioner 350 7th Street, Naples Community Hospital, Naples, FL 34102 2011-07-20
1154573830 Gustavo D Rivera Internal Medicine 1064 Goodlette Road, Naples, FL 34102 2008-10-14
1881872281 Proscan Imaging Naples, LLC Radiology 260 Tamiami Trail N, Naples, FL 34102 2008-02-07
1053595017 Marlene Ann Diaczynsky Registered Nurse 350 7th Street North, Naples Community Hospital, Naples, FL 34102 2007-12-26
1699958330 Georgiena Cobb Counselor 501 Goodlette Rd, Naples, FL 34102 2007-12-17
1124210158 Maranatha Home Care, Inc. Registered Nurse 1164 Goodlette Road, Naples, FL 34102 2007-08-14
1669678645 Naples Family Dentistry Inc Dentist 2176 Tamiami Trail North, Naples, FL 34102 2007-06-26
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811598691 Monica Nancy Ginocchio Physician Assistant 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 2020-11-06
1578971826 Maria Rienzi Physician Assistant Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 2014-07-31
1669591673 Tansy Walker Physician Assistant 6101 Pine Ridge Rd # Pfs4, Naples, FL 34119-3900 2007-03-29
1730222662 Myles Rubin Samotin Md Pa Physician Assistant 870 111th Ave N Ste 4, Naples, FL 34108-1869 2007-02-14
1366412405 Kevin J Gallen Physician Assistant 1350 Tamiami Trl N, #202, Naples, FL 34102-5203 2006-01-23
1417598970 Ryan Thomas Hebda Physician Assistant 1250 Pine Ridge Rd Ste 201, Naples, FL 34108-8913 2019-10-04
1144796004 Aleem Uddin Physician Assistant 311 9th St N Ste 100, Naples, FL 34102-5886 2018-10-18
1063922110 David T Albritton Physician Assistant 1250 Pine Ridge Rd Ste 203, Naples, FL 34108-8913 2017-10-03
1093250763 Dana Zeitler Physician Assistant 1250 Pine Ridge Rd, Naples, FL 34108-8913 2017-01-04
1376086934 Melissa M Guzman Physician Assistant 399 9th St N, Naples, FL 34102-5820 2016-11-29
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Competitor

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City NAPLES
Zip Code 34102

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Dataset Information

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.

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