Healthcare Provider Details

I. General information

NPI: 1295630440
Provider Name (Legal Business Name): NAPLES HMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24231 WALDEN CENTER DR STE 203
ESTERO FL
34134-5012
US

IV. Provider business mailing address

6101 PINE RIDGE RD
NAPLES FL
34119-3900
US

V. Phone/Fax

Practice location:
  • Phone: 239-348-4100
  • Fax: 239-495-1710
Mailing address:
  • Phone: 239-304-5145
  • Fax: 239-348-4439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAULA LALOR
Title or Position: SENIOR DIRECTOR
Credential:
Phone: 629-215-3953