Healthcare Provider Details

I. General information

NPI: 1750270468
Provider Name (Legal Business Name): NAPLES BRAIN CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5137 CASTELLO DR STE 2
NAPLES FL
34103-1928
US

IV. Provider business mailing address

5137 CASTELLO DR STE 2
NAPLES FL
34103-1928
US

V. Phone/Fax

Practice location:
  • Phone: 239-380-5596
  • Fax:
Mailing address:
  • Phone: 239-380-5596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DARCY DEBRA DANE
Title or Position: MANAGER
Credential: DC, DACNB
Phone: 239-380-5596