Healthcare Provider Details

I. General information

NPI: 1104344944
Provider Name (Legal Business Name): FLORIDA PROFESSIONAL MANAGEMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 AIRPORT RD S STE 310
NAPLES FL
34112-4803
US

IV. Provider business mailing address

2500 AIRPORT RD S STE 310
NAPLES FL
34112-4803
US

V. Phone/Fax

Practice location:
  • Phone: 1
  • Fax: 1
Mailing address:
  • Phone: 1
  • Fax: 1

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MARIA GARCIA
Title or Position: OWNER/MANAGER
Credential:
Phone: 1