Healthcare Provider Details

I. General information

NPI: 1245211077
Provider Name (Legal Business Name): NAPLES WOMENS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 09/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 ARCOS AVE SUITE 205
ESTERO FL
33928-9459
US

IV. Provider business mailing address

1726 MEDICAL BLVD SUITE 101
NAPLES FL
34110-1426
US

V. Phone/Fax

Practice location:
  • Phone: 239-495-5896
  • Fax: 239-495-5916
Mailing address:
  • Phone: 239-513-1992
  • Fax: 239-513-9022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL T DENT
Title or Position: OWNER
Credential: M.D.
Phone: 239-513-1992