Healthcare Provider Details

I. General information

NPI: 1457005290
Provider Name (Legal Business Name): TRUE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4186 TAMIAMI TRL N
NAPLES FL
34103-3124
US

IV. Provider business mailing address

410 LOGAN BLVD N
NAPLES FL
34119-1429
US

V. Phone/Fax

Practice location:
  • Phone: 239-357-8462
  • Fax: 800-647-1951
Mailing address:
  • Phone: 239-357-8462
  • Fax: 800-647-1951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA CARRILLO
Title or Position: ADMINISTRATOR
Credential: DACM
Phone: 239-357-8462