INTERNAL MEDICINE INSTITUTE OF SOUTH FL,LLC (NPI# 1770997447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770997447 |
Entity Type | Organization |
Organization Name | INTERNAL MEDICINE INSTITUTE OF SOUTH FL,LLC |
Practice Address |
12264 Tamiami Trl E Ste 203 Naples FL 34113-7942 |
Mailing Address |
4061 Bonita Beach Rd Ste 101 Bonita Springs FL 34134-4073 |
Practice Telephone | 2393049071 |
Practice Fax Number | 2393049320 |
Mailing Telephone | 2393049071 |
Mailing Fax Number | 2393049320 |
Enumeration Date | 2014-06-20 |
Last Update Date | 2014-06-20 |
Authorized Official Name | RODOLFO FREIRE (MEDICAL DIRECTOR) |
Authorized Official Telephone | 2393049071 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | ME109303 | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 005826000 | 05 | |
FL | BC& BS | 14HA1 | 01 |
Street Address |
12264 TAMIAMI TRL E STE 203 |
City | NAPLES |
State | FL |
Zip Code | 34113-7942 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225516040 | Arnav Inc | Pharmacy | 11556 Tamiami Trl E, Naples, FL 34113 | 2018-08-02 |
1184119810 | Carlos Portu Md Pllc | Internal Medicine | 12250 Tamiami Trl E Ste 208, Naples, FL 34113 | 2018-06-26 |
1134612302 | Christopher J Ramke | Dentist | Collier Blvd & Grand Lely Dr, Naples, FL 34113 | 2018-06-12 |
1285131680 | Jacqueline Anne Pittman | Social Worker | Monarch Wellness, LLC, 12264 Tamiami Trail East, Suite 202, Naples, FL 34113 | 2018-04-11 |
1861916173 | Allison Romeo | Counselor | 5027 Tamiami Trail East, Naples, FL 34113 | 2017-07-28 |
1497148365 | Haven Hhc 8 LLC | Home Health | 8795 Tamiami Trail East, Suite 201, Naples, FL 34113 | 2015-03-16 |
1861679227 | Nancy J. Goodwin | Emergency Medicine | 12260 Tamiami Trl E Ste 102, Naples, FL 34113 | 2008-01-29 |
1639391725 | Eagle Creek Dentistry, Inc. | Dentist | 12692 Tamiami Trail East, Naples, FL 34113 | 2007-05-02 |
1821178534 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 12703 E. Tamiami Trail, #121, Naples, FL 34113 | 2006-10-17 |
1306935705 | Shawn M Slattery | Optometrist | 12707 Tamiami Trail East, Naples, FL 34113 | 2006-10-12 |
Find all providers in zip 34113 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932660396 | Leslie Worth | Specialist | 1879 Veterans Park Dr Ste 1201, Naples, FL 34109-0500 | 2019-03-28 |
1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
1720461536 | Janneke Huber | Specialist | 1725 Heritage Trl Ste 301, Naples, FL 34112-8716 | 2015-06-30 |
1609270925 | Joyful Juicing | Specialist | 1035 Collier Center Way Ste 10, Naples, FL 34110-8474 | 2014-10-15 |
1285034165 | Michael Shanaberger | Specialist | 9331 Tamiami Trl N Ste 1, Naples, FL 34108-2486 | 2014-08-28 |
1972927465 | Joseph Farraye | Specialist | 8725 Cedar Hammock Blvd, Naples, FL 34112-3303 | 2014-02-05 |
1104261627 | John Joseph Butler II | Specialist | 6585 Nicholas Blvd, Apt1803, Naples, FL 34108-7210 | 2013-05-10 |
1699039024 | Allen Jack Savitt | Specialist | 4021 Gulf Shore Blvd N, #701, Naples, FL 34103-3471 | 2012-06-29 |
1114281045 | Marianna D Beigel | Specialist | 590 Italy Valley Rd, Naples, NY 14512-9414 | 2012-06-26 |
1326324716 | Cintex Health Services LLC | Specialist | 11965 Collier Blvd, Suite 2, Naples, FL 34116-6502 | 2011-10-29 |
Find all providers in NAPLES |
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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.