ROYAL HEALTHCARE OF SOUTHWEST FLORIDA LLC


Address: 4580 Andover Way, B 202, Naples, FL 34112-7250
Phone: 7326740086

ROYAL HEALTHCARE OF SOUTHWEST FLORIDA LLC (NPI# 1851646871) 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) 1851646871
Entity Type Organization
Organization Name ROYAL HEALTHCARE OF SOUTHWEST FLORIDA LLC
Practice Address 4580 Andover Way
B 202
Naples
FL 34112-7250
Practice Telephone 7326740086
Practice Fax Number 2397936645
Mailing Telephone 7326740086
Mailing Fax Number 2397936645
Enumeration Date 2012-07-16
Last Update Date 2012-07-16
Authorized Official Name VALERIE HAHN (MANAGING MEMBER)
Authorized Official Telephone 7326740086
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service 9253566 FL Managed Care Organizations

Office Location

Street Address 4580 ANDOVER WAY
B 202
City NAPLES
State FL
Zip Code 34112-7250

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1457787798 Christine Claire Oswald Counselor 2500 Airport Pulling Rd, Suite 207, Naples, FL 34112 2013-09-18
1750628467 Jennifer June Johnson Pharmacist 3350 Tamiami Trail E, Publix Pharmacy, Naples, FL 34112 2013-01-15
1306190384 Leeann Dunnington Nurse Practitioner 4524 Thomasson Dr, Naples, FL 34112 2012-10-30
1124346945 Gary Vaughn Burkholder Dentist 3301 Tamiami Trail East, Naples, FL 34112 2010-05-05
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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1194876912 Spelios and Associates Naples Pa Point of Service 690 Goodlette Rd N, Suite 100, Naples, FL 34102-5613 2007-01-16
1831258797 Naples Injury Center Inc Point of Service 2740 Bayshore Dr Ste 8, Naples, FL 34112-5885 2006-12-07
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Competitor

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City NAPLES
Zip Code 34112

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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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