MEDICARE: NAPLES EYE PHYSICIANS, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1265419626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAPLES EYE PHYSICIANS, PA

Provider Business Mailing Address
First Line	:	661 GOODLETTE RD N
Second Line	:	SUITE #105
City	:	NAPLES
State	:	FL
Zip	:	34102-5609
Country	:	US
Telephone Number	:	239-262-6288
Fax Number	:	239-262-5434

Provider Business Practice Location Address
First Line	:	661 GOODLETTE RD N
Second Line	:	SUITE #105
City	:	NAPLES
State	:	FL
Zip	:	34102-5609
Country	:	US
Telephone Number	:	239-262-6288
Fax Number	:	239-262-5434

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL M. ROUGRAFF
Credential	:	M.D.
Telephone Number	:	239-262-6288

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	04/24/2014

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Practice Location Address:

661 GOODLETTE RD N , SUITE 105
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34102-5609

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1831176288 — PAUL M ROUGRAFF MD
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1467439810 — DAVID E POELTL MD
Practice Location Address:

661 GOODLETTE RD N , STE 105
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1386604510 — SMARDZ CORPORATION
Practice Location Address:

661 GOODLETTE RD N , SUITE 108
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1972563542 — DR. DEANNA L BARBARO DC
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1558315663 — MEDICAL & SPORTS REHABILITATION CENTER INC
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