Healthcare Provider Details

I. General information

NPI: 1437322393
Provider Name (Legal Business Name): NAPLES PHYSICIANS SURGICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 SE 5TH ST SUITE 406
BOCA RATON FL
33432-6003
US

IV. Provider business mailing address

40 SE 5TH ST SUITE 406
BOCA RATON FL
33432-6003
US

V. Phone/Fax

Practice location:
  • Phone: 561-368-7118
  • Fax: 561-368-7116
Mailing address:
  • Phone: 561-368-7118
  • Fax: 561-368-7116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License NumberOS7760
License Number StateFL

VIII. Authorized Official

Name: DR. DAVID NAPOLI
Title or Position: DIRECTOR
Credential:
Phone: 561-368-7118