Healthcare Provider Details

I. General information

NPI: 1043310311
Provider Name (Legal Business Name): CLAYTON J RABENS M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 TAMIAMI TRL N STE 101
NAPLES FL
34103-3060
US

IV. Provider business mailing address

4501 TAMIAMI TRL N STE 101
NAPLES FL
34103-3060
US

V. Phone/Fax

Practice location:
  • Phone: 239-397-6900
  • Fax: 239-397-6901
Mailing address:
  • Phone: 239-397-6900
  • Fax: 239-397-6901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME179549
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: