MEDICARE: PREEMPTIVE CLINIC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1619859329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREEMPTIVE CLINIC

Provider Business Mailing Address
First Line	:	1522 WESTERN AVE STE 24105
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-1522
Country	:	US
Telephone Number	:	352-788-2993
Fax Number	:	352-386-3576

Provider Business Practice Location Address
First Line	:	5283 HAWKESBURY WAY
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-9582
Country	:	US
Telephone Number	:	352-788-2993
Fax Number	:	352-386-3576

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JAMIEN MCCULLUM
Credential	:
Telephone Number	:	650-814-4524

Provider Enumeration Date	:	07/23/2025
Last Update Date	:	01/28/2026

Similar Medicare Providers

1891711685 — JORGE HUMBERTO SANCHEZ MD
Practice Location Address:

5283 HAWKESBURY WAY
NAPLES, FL
34119-9582

Practice Phone: 650-814-4524
Practice Fax:

1750618492 — MRS. RUTH ANN FAYE M.S.CCC;SLP
Practice Location Address:

5235 HAWKESBURY WAY
NAPLES, FL
34119-9582

Practice Phone: 239-331-6766
Practice Fax:

1790261501 — MS. ZHYRMA ANGELICA MONZON CANALES
Practice Location Address:

5283 HAWKESBURY WAY
NAPLES, FL
34119-9582

Practice Phone: 650-814-4524
Practice Fax:

1902765498 — BENCY GEORGES
Practice Location Address:

7950 PRESERVE CIR APT 837
NAPLES, FL
34119-6745

Practice Phone: 239-778-4698
Practice Fax:

1659239507 — NICOLETTE LEE CAIAFA
Practice Location Address:

3962 BERING CT
NAPLES, FL
34119-8644

Practice Phone: 239-777-8733
Practice Fax:

1417768102 — MR. CARLOS HUGO SILVA PA-C
Practice Location Address:

6376 PINE RIDGE RD UNIT 300
NAPLES, FL
34119-3908

Practice Phone: 239-348-4128
Practice Fax: 239-348-4149

Directions to “PREEMPTIVE CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.